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NPI Code Detail

MEDICARE: ASHLEY NICOLE MADRID CRNA

MEDICARE: ASHLEY NICOLE MADRID CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program95097074CA

General Provider Information

NPI Number : 1366384497
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE MADRID CRNA
Provider Business Mailing Address
First Line : 9106 HUDSON LN
Second Line :
City : GARDENA
State : CA
Zip : 90248-1402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 THE CITY DR S
Second Line :
City : ORANGE
State : CA
Zip : 92868-3201
Country : US
Telephone Number : 714-456-7890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 06/02/2026

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Directions to “ ASHLEY NICOLE MADRID CRNA” Practice Location

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