Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENNA GLYN MADCHE, FNP
Active Sole ProprietorPrimary Care Nurse Practitioner · AVA, MO
Registration Details
- NPI Number
- 1093513087
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2025 (1.1501638915652 yrs)
- Last Updated
- Mar 5, 2025
- License
-
2025006229 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 W BROADWAY AVEAVA, MO, 65608Browse MO providers · Browse ZIP 65608
- Phone
- 4176835739
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in AVA, MO
| Name | Credential | NPI |
|---|---|---|
| KATHY L DOMIANO | FNP | 1265627970 |
| VANESSA KAY LOFTIS | FNP | 1407445141 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.