Individual
TONI M MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 573-6166
(707) 573-6165
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R37008
NM
363LA2200X
Adult Health Nurse Practitioner
Primary
16959
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
R37008
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45259330
—
NM
Enumeration date
07/26/2006
Last updated
11/08/2021
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