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Contact Information

LACIE T MADISON, CRNP
5151 N 9TH AVE
PENSACOLA, FL32504-8721
 Phone: 850-416-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LACIE T MADISON · (Female)

NPI # 1588808687
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/21/2009
Last updated 04/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9463502
  • FL License # ARNP9463502
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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