Provider Demographics
NPI:1295857589
Name:MCGARRY, PAULA (RN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 NORTH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-2926
Mailing Address - Country:US
Mailing Address - Phone:802-773-8092
Mailing Address - Fax:
Practice Address - Street 1:1 SCALE AVE
Practice Address - Street 2:BLDG 18
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4452
Practice Address - Country:US
Practice Address - Phone:802-775-0828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0260009259163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse