Michelle Louise Maddin, RN
Individual provider Active NPI Case Management Registered Nurse · McClellan, CA
NPI 1609002260 · NPPES record last updated Jun 9, 2009
Key facts
- NPI
- 1609002260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 689414 (TX)
- Practice address
- 3230 Peacekeeper Way
BLDG 209
McClellan, CA 95652-2609 - Phone
- (916) 830-1513
- Fax
- (916) 929-1861
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 689414 | TX | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 689414 | TX | Yes |
Addresses
Primary practice location
3230 Peacekeeper Way
BLDG 209
McClellan, CA 95652-2609
Mailing address
3230 Peacekeeper Way
BLDG 209
McClellan, CA 95652-2609
Phone (916) 830-1513
Other providers in McClellan, CA
- Clark Lomboy
- Miguel Lopez Gonzalez
- Jocelyn Lopez
- Emily Ma
- Azarea Camille Maatra
- Ammera Kaing Martin
- Martinez Vamc
- Martinez Vamc
- Jennifer R Marzion
- Jane E Means
All providers in McClellan, CA · Case Management Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.