Mcfadden, Marcellette Eddilene
Mcfadden, Marcellette Eddilene is an sole proprietor health care provider with primary practice located at 726 E Michigan Dr Ste 201 , Hobbs NM 88240-3467. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mcfadden, Marcellette Eddilene can be contacted via phone (575) 942-1970.Contact Information
Primary practice address
726 E Michigan Dr Ste 201
Hobbs NM 88240-3467
Phone: (575) 942-1970
Fax: (806) 209-0144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP135148 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 77378 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 77378 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP135148 | Texas |
Profile Details
| NPI number | 1972004349 |
|---|---|
| LBN Legal business name | Mcfadden, Marcellette Eddilene |
| Credentials | APRN,FNPC,PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2018 |
| Last updated | Jul 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972004349 | NPPES |
| New Mexico | Other | 77378 | NM BON APRN LICENXSE |
| New Mexico | Other | AP135148 | NM BON APRN LICENXSE |
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