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Contact Information

MCKENNA G MADCHE, FNP
504 W BROADWAY AVE
AVA, MO65608
 Phone: 417-683-5739
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MCKENNA G MADCHE · (Female)

NPI # 1093513087
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/05/2025
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2025006229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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