Provider Demographics
NPI:1043620073
Name:PLOTAS-MCGRATH, KAREN (PHN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:PLOTAS-MCGRATH
Suffix:
Gender:F
Credentials:PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2926
Mailing Address - Country:US
Mailing Address - Phone:518-565-4855
Mailing Address - Fax:518-565-4941
Practice Address - Street 1:133 MARGARET STREET
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-565-4855
Practice Address - Fax:518-565-4941
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY435882163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse