Provider Demographics
NPI:1306857586
Name:MCGARRELL, VICTORIA M (ARNP)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:M
Last Name:MCGARRELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 ALUMNI DRIVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2119
Mailing Address - Country:US
Mailing Address - Phone:603-778-0557
Mailing Address - Fax:603-778-1669
Practice Address - Street 1:3 ALUMNI DRIVE
Practice Address - Street 2:SUITE 401
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2119
Practice Address - Country:US
Practice Address - Phone:603-778-0557
Practice Address - Fax:603-778-1669
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH015909-23363L00000X, 367A00000X, 363L00000X
NH015909-23-1176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH00000429Medicaid
NH40Y007285NH01OtherANTHEM BCBS
NH40Y007285NH01OtherANTHEM BCBS
NHRE0831Medicare PIN