Provider Demographics
NPI:1639145857
Name:MCFADDEN, NANCY KATHERINE (MSN,CRNP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KATHERINE
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:MSN,CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4754 S CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:WALNUTPORT
Mailing Address - State:PA
Mailing Address - Zip Code:18088-9458
Mailing Address - Country:US
Mailing Address - Phone:570-424-9153
Mailing Address - Fax:570-424-1046
Practice Address - Street 1:447 OFFICE PLAZA
Practice Address - Street 2:600 PLAZA COURT, SUITE D
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301
Practice Address - Country:US
Practice Address - Phone:570-424-9153
Practice Address - Fax:570-424-1046
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP004360B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily