Individual
RODNEY K MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3616 E SHEFFIELD WAY, SPRINGFIELD, MO 65802-2466
(417) 848-0191
Mailing address
3616 E SHEFFIELD WAY, SPRINGFIELD, MO 65802-2466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
065906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100786870B
—
OK
05
—
125331701
—
AR
05
—
1831293547
—
MO
01
—
194111
BCBS
MO
01
—
20174319965616B006
TRICARE
MO
01
—
401097
HEALTHLINK
MO
01
—
5277
COX HEALTH
MO
05
—
912808052
—
MO
01
—
P00267912
RAILROAD
MO
Enumeration date
09/12/2006
Last updated
10/03/2024
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