Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDISA MADDOX, CNA
Active Sole ProprietorMANDISA MADDOX, CNA is a Nurse's Aide healthcare provider located in NEW SMYRNA BEACH, Florida. NPI 1508464157 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · NEW SMYRNA BEACH, FL
Registration Details
- NPI Number
- 1508464157
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2020 (5.82813020763 yrs)
- Last Updated
- Dec 19, 2020
- License
-
120728 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 HICKORY STNEW SMYRNA BEACH, FL, 321688189Browse FL providers · Browse ZIP 32168
- Phone
- 3865764198
- Primary Specialty
-
Nurse's Aide
376K00000X
Other Nurse's Aide Providers in NEW SMYRNA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MISS MYRIAM F GRONDAL | — | 1841431848 |
| NIKOLE L MURRAY | — | 1659992667 |
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.