Individual
MRS. THERESA MCFADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6100 ILLINI TRL, WATERLOO, IL 62298-3547
(618) 616-4782
Mailing address
6100 ILLINI TRL, WATERLOO, IL 62298-3547
(618) 616-4782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015040590
MO
363L00000X
Nurse Practitioner
209013900
IL
Other
Enumeration date
04/05/2016
Last updated
03/31/2025
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