Provider Demographics
NPI:1245952159
Name:MADRID, ANGELA (AUD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:MADRID
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9270 EAGLE RANCH RD NW APT 618
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6027
Mailing Address - Country:US
Mailing Address - Phone:720-236-2883
Mailing Address - Fax:
Practice Address - Street 1:7850 VANCE DR STE 225
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2133
Practice Address - Country:US
Practice Address - Phone:303-431-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM7920231H00000X
CO1207237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist