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NPI Code Detail

MEDICARE: MADISON MARTIN

MEDICARE: MADISON MARTIN
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1962351411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON MARTIN
Provider Business Mailing Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number : 775-927-5535
Fax Number :
Provider Business Practice Location Address
First Line : 524 COMMERCIAL ST
Second Line :
City : ELKO
State : NV
Zip : 89801-3741
Country : US
Telephone Number : 775-927-5535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ MADISON MARTIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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