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Individual
JONATHAN ANDREW MCFADYEN
Active
Individual
JONATHAN ANDREW MCFADYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201050079NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00936658
MEDICARE RAILROAD
OR
05
—
500623623
—
OR
Enumeration date
06/09/2010
Last updated
04/07/2021
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