Individual provider · Type 1 NPI

Mandisa Maddox, CNA

Nurse's Aide · New Smyrna Beach, FL

NPI number 1508464157 Active

Practice location

209 Hickory St
New Smyrna Beach, FL 32168-8189

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X120728 (FL)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1508464157

Mandisa Maddox, CNA's National Provider Identifier is 1508464157, issued on Oct 15, 2020. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Dec 19, 2020.