Individual provider · Type 1 NPI
McKenna Glyn Madche, FNP
Primary Care Nurse Practitioner · Ava, MO
NPI number
1093513087
Active
Practice location
504 W Broadway Ave
Ava, MO 65608
Mailing address
504 S Sarah Ave
Republic, MO 65738-2693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2025006229 (MO) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Ava
About NPI 1093513087
McKenna Glyn Madche, FNP's National Provider Identifier is 1093513087, issued on Mar 5, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ava, MO. The record was last updated on Mar 5, 2025.