Madison Elizabeth Souza, NP
Nurse Practitioner, Pediatrics in Fairfield, CA. Individual provider (NPI-1).
NPI number1801697602
StatusActive
Last updated in NPPESMar 19, 2025
Details
- NPI
- 1801697602
- Entity type
- Individual (NPI-1)
- Name
- Madison Elizabeth Souza
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2025
- Certification date
- Mar 19, 2025
- Last updated
- Mar 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 95032370 | CA | Yes |
Practice location
470 Chadbourne Rd Ste AFairfield, CA 94534-9620
Phone 707-419-8989
Mailing address
450 Clipper Hill RdDanville, CA 94526-2308
Phone 925-948-5510
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