Most Relevant Information
Provider Data
| NPI Number: | 1003566639 |
| Provider Name: | ELENA PADILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2022 |
| Last Updated: | 03/26/2022 |
Provider Practice Location
600 HIGHLAND AVE
MADISON
WI
537920001
Practice Location Phone/Fax
| Phone: | 5055709877 |
| Fax: |
Provider Mailing Location
1113 E DAYTON ST APT B
MADISON
WI
537032449
Provider Mailing Phone/Fax
| Phone: | 5055709877 |
| Fax: |