# REGINA RAE MCDADE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174208169
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 14138988081 | KS | — |
| 363L00000X | Nurse Practitioner | 2023027962 | MO | — |
| 363L00000X | Nurse Practitioner | 82283 | KS | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 11/07/2025