Provider Demographics
NPI:1891194601
Name:MADSON, DEBRA LEE (CRNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LEE
Last Name:MADSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 N DEAN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4034
Mailing Address - Country:US
Mailing Address - Phone:334-275-7440
Mailing Address - Fax:334-218-5815
Practice Address - Street 1:785 N DEAN RD STE 400
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4034
Practice Address - Country:US
Practice Address - Phone:334-275-7440
Practice Address - Fax:334-218-5815
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-136679364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health