Madison, Marissa Sue

Madison, Marissa Sue is an individual health care provider with primary practice located at 3269 N Stockton Hill Rd , Kingman AZ 86409-3619. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Madison, Marissa Sue can be contacted via phone (928) 757-2101.

Contact Information

Primary practice address
3269 N Stockton Hill Rd Kingman AZ 86409-3619
Phone: (928) 757-2101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9941 Arizona
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 9941 Arizona

Profile Details

NPI number 1396479903
LBN Legal business name Madison, Marissa Sue
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Nov 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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