Provider Demographics
NPI:1508119827
Name:MADRIGAL, RACHEL MARLAINE (CLD)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MARLAINE
Last Name:MADRIGAL
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1947 CAPITAL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80951-9754
Mailing Address - Country:US
Mailing Address - Phone:719-287-0478
Mailing Address - Fax:
Practice Address - Street 1:1947 CAPITAL DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80951-9754
Practice Address - Country:US
Practice Address - Phone:719-287-0478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay