Provider Demographics
NPI:1427035112
Name:MCFADDEN, CHERYL E (ARNP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:E
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ELLEN
Other - Last Name:WORBOIS MCFADDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:2109 N MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-2568
Mailing Address - Country:US
Mailing Address - Phone:580-233-7680
Mailing Address - Fax:580-233-7680
Practice Address - Street 1:201 S MUSTANG RD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6686
Practice Address - Country:US
Practice Address - Phone:405-324-8170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0050502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200069420AMedicaid
OK200069420 BMedicaid
S96248Medicare UPIN
OKOK401057Medicare UPIN