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NPI Code Detail

MEDICARE: MADISON MARR

MEDICARE: MADISON MARR
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
1164W00000XLicensed Practical Nurse895009NV

General Provider Information

NPI Number : 1184575433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON MARR
Provider Business Mailing Address
First Line : 2450 SUTRO ST APT 1
Second Line :
City : RENO
State : NV
Zip : 89512-1629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10345 PROFESSIONAL CIR STE 125
Second Line :
City : RENO
State : NV
Zip : 89521-3100
Country : US
Telephone Number : 775-348-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ MADISON MARR ” Practice Location

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