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Individual
MARCELLETTE EDDILENE MCFADDEN
Active
Individual
MARCELLETTE EDDILENE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,FNPC,PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
77378
NM
363LF0000X
Family Nurse Practitioner
AP135148
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
77378
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77378
NM BON APRN LICENXSE
NM
01
—
AP135148
TEXAS BNE APRN LICENSE
TX
Enumeration date
02/21/2018
Last updated
07/30/2024
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