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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LACIE TARA MADISON, CRNP

Active

MRS. LACIE TARA MADISON, CRNP is a Pediatric Emergency Medicine healthcare provider located in PENSACOLA, Florida. NPI 1588808687 is currently active in the NPPES registry. Verify at CMS.

Pediatric Emergency Medicine · PENSACOLA, FL

Registration Details

NPI Number
1588808687
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2009 (17.312985635829 yrs)
Last Updated
Apr 17, 2024
Licenses
ARNP9463502 (FL)
9463502 (FL)

Practice Information

Address
5151 N 9TH AVE
PENSACOLA, FL, 325048721
Browse FL providers · Browse ZIP 32504
Phone
8504167000
Primary Specialty
Pediatric Emergency Medicine
207PP0204X
Additional Specialty
Pediatric Emergency Medicine
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.