| Doctor Name: | CHARITY MCDADE |
| NPI Number: | 1508227166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1076707 |
| Business Practice Address: | 109 Bowen Bnd Wetumpka, AL - 360932592 |
| Business Phone Number: | 3344514447 |
| Business Fax Number: | |
| Mailing Address: | 109 Bowen Bnd, WETUMPKA |
| State: | AL |
| Postal Code: | 360932592 |
| Phone Number: | 3344514447 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2016 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | 1076707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |