Individual
HOWARD MACFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7844
Mailing address
PO BOX 1807, MARION, OH 43301-1807
(740) 383-7090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN238332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959119
—
OH
Enumeration date
06/29/2006
Last updated
12/16/2009
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