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Nanette Kay Maddox
Other Technician in Crestview, Florida
NPI 1548592645

Nanette Kay Maddox is a Other Technician based in Crestview, FL. Nanette Kay Maddox practices in Crestview, FL. The NPI Number for Nanette Kay Maddox is 1548592645 and holds a License No. E0953 (Florida).

The current practice location address for Nanette Kay Maddox is 424 W James Lee Blvd, Crestview, FL and can be reached out via phone at 850-689-2260 and via fax at 850-398-6211.

Location: 424 W James Lee Blvd, Crestview, FL, 32536-2638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548592645
Provider Name
Nanette Kay Maddox
Credential
Provider Entity Type
Individual
Gender
Female
Address
424 W James Lee Blvd, Crestview, FL, 32536-2638
Phone Number
850-689-2260
Fax Number
850-398-6211
Provider Enumeration Date
02/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
424 W James Lee Blvd
City
Crestview
State
Florida
Zip
32536-2638
Phone Number
850-689-2260
Fax Number
850-398-6211
person
Provider Business Mailing Address Details
Address
424 W James Lee Blvd
City
Crestview
State
Florida
Zip
32536-2638
Phone Number
850-689-2260
Fax Number
850-398-6211
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
FS864804 (Florida)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
E0953 (Florida)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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