Individual
MARCELLETTE EDDILENE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,FNPC,PMHNP
Contact information
Practice address
726 E MICHIGAN DR STE 201, HOBBS, NM 88240-3467
(575) 942-1970
(806) 209-0144
Mailing address
PO BOX 53607, LUBBOCK, TX 79453-3607
(806) 438-1476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
77378
NM
363LF0000X
Family Nurse Practitioner
AP135148
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
77378
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77378
NM BON APRN LICENXSE
NM
01
—
AP135148
TEXAS BNE APRN LICENSE
TX
Enumeration date
02/21/2018
Last updated
07/30/2024
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