| Doctor Name: | CRYSTAL MCFADDIN |
| NPI Number: | 1265836050 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024172003 |
| Business Practice Address: | 4301 East Parham Road Henrico, VA - 23228 |
| Business Phone Number: | 8045014000 |
| Business Fax Number: | |
| Mailing Address: | 201 Hull St. #42, RICHMOND |
| State: | VA |
| Postal Code: | 23224 |
| Phone Number: | 8044415303 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 0024172003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |