Banee Madison, P.A Valid NPI

Individual provider · Physician Assistant · Lafayette, LA

NPI

1083017271

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

200759 (LA)

Sex

Female

Sole proprietor

Yes

Enumerated

2014-10-01

Last updated

2014-11-05