Provider Demographics
NPI:1184348112
Name:MADERA, MARIA ERIKA (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ERIKA
Last Name:MADERA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1157
Mailing Address - Street 2:
Mailing Address - City:SABINAL
Mailing Address - State:TX
Mailing Address - Zip Code:78881-1157
Mailing Address - Country:US
Mailing Address - Phone:713-299-1014
Mailing Address - Fax:
Practice Address - Street 1:1819 N. 9TH ST.
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834
Practice Address - Country:US
Practice Address - Phone:830-876-5263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily