DR. EDDIA MARIE MCDADE PHD PMHNP RN NPI 1942685607

NPI Information

NPI: 1942685607
Provider Name: DR. EDDIA MARIE MCDADE, PHD, PMHNP, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1025 HURON AVE FL 2
PORT HURON, MI
ZIP 48060
Phone: (810) 966-6025
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DR. Eddia Marie Mcdade, PHD, PMHNP, RN is a psychiatric/mental health nurse practitioner in Port Huron, MI. DR. Eddia Marie Mcdade, PHD, PMHNP, RN NPI is 1942685607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1025 HURON AVE FL 2
PORT HURON, MI
ZIP 48060-763
Phone: (810) 966-6025
Fax: (810) 622-3598

The NPI 1942685607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2015 and was last updated on 3/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704177892	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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