Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA SUE MADISON, PA
ActiveMARISSA SUE MADISON, PA is a Physician Assistant healthcare provider located in KINGMAN, Arizona. NPI 1396479903 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KINGMAN, AZ
Registration Details
- NPI Number
- 1396479903
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2022 (3.9096501143829 yrs)
- Last Updated
- Nov 1, 2023
- Licenses
-
9941 (AZ)9941 (AZ)
Practice Information
- Address
-
3269 N STOCKTON HILL RDKINGMAN, AZ, 864093619Browse AZ providers · Browse ZIP 86409
- Phone
- 9287572101
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Physician Assistant Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| SHARON ELLEN OMALLEY | PA C | 1174546360 |
| TROY ALLEN DAVISON | — | 1114023595 |
| MRS. JAMIE LYNN GILLETTE | PA-C | 1538354162 |
| ANN MARIE GARIBALDI | PA-C | 1235314089 |
| MS. JENNIFER LAUREN AZBILL | PA-C | 1225381858 |
| MS. JUVY ESCALANTE | PA | 1053650416 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.