Individual
MRS. BILLIE IRENE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
42 NORTH DR, SAUGERTIES, NY 12477-4726
(845) 383-3676
Mailing address
42 NORTH DR, SAUGERTIES, NY 12477-4726
(845) 383-3676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
089433-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02683434
—
NY
01
—
089433-1
LPN LICENES NUMBER
NY
Enumeration date
01/14/2007
Last updated
07/09/2007
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