Doctor Name: | MRS. BRENDA LEE MCFADDEN |
NPI Number: | 1124450465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3008141 |
Business Practice Address: | 1337 N Race St Glasgow, KY - 421413454 |
Business Phone Number: | 2703615069 |
Business Fax Number: | 2706593330 |
Mailing Address: | 1337 N Race St, GLASGOW |
State: | KY |
Postal Code: | 421413454 |
Phone Number: | 2703615069 |
Fax Number: | 2706593330 |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3008141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |