Provider Demographics
NPI:1003499641
Name:MCGRATH, BARBARA BENKISER (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:BENKISER
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 S SHERWOOD VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-5826
Mailing Address - Country:US
Mailing Address - Phone:520-338-3881
Mailing Address - Fax:
Practice Address - Street 1:921 S SHERWOOD VILLAGE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-5826
Practice Address - Country:US
Practice Address - Phone:520-338-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ257101363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily