Provider Demographics
NPI:1033593355
Name:MCGEE, MICHAEL PATRICK
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PATRICK
Last Name:MCGEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 PUTNAM PIKE
Mailing Address - Street 2:#15
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-3000
Mailing Address - Country:US
Mailing Address - Phone:401-949-2010
Mailing Address - Fax:
Practice Address - Street 1:466 PUTNAM PIKE
Practice Address - Street 2:#15
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-3000
Practice Address - Country:US
Practice Address - Phone:401-949-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily