IndividualActive
Bethany Mcdade, AGPCNP-BC
NPI 1699140418 · Adult Health Nurse Practitioner · Saint Clair Shores, MI
Provider details
- NPI number
- 1699140418
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704275000 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
29000 Little Mack Ave Ste a
Saint Clair Shores, MI 48081-3018
Phone: (586) 343-8717
Fax: (586) 343-8773
Approximate (ZIP-level) locationGet directions
Mailing address
29000 Little Mack Ave Ste a
Saint Clair Shores, MI 48081-3018
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.