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Nanette Maddox

NPI 1548592645 · on the registry since 2010 · sole proprietor

Practice

Address
424 W James Lee Blvd
Crestview, FL 32536
Phone
(850) 689-2260
Fax
(850) 398-6211
Clinicians at this address
4

Registry record

Primary taxonomy
247200000X
247200000X
Also registered as
246Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida