Individual
CHARITY MCDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BOWEN BND, WETUMPKA, AL 36093-2592
(334) 451-4447
Mailing address
109 BOWEN BND, WETUMPKA, AL 36093-2592
(334) 451-4447
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1076707
AL
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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