Provider Demographics
NPI:1033644323
Name:MCQUADE, MEGAN
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCQUADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 N 85TH ST
Mailing Address - Street 2:APT B217
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3782
Mailing Address - Country:US
Mailing Address - Phone:412-260-7838
Mailing Address - Fax:
Practice Address - Street 1:522 N 85TH ST
Practice Address - Street 2:APT B217
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-3782
Practice Address - Country:US
Practice Address - Phone:412-260-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60672087163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool