Provider Demographics
NPI:1356461842
Name:NGILLA MCGRAW, MEAGHAN DOROTHY (RN, NP)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:DOROTHY
Last Name:NGILLA MCGRAW
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:DOROTHY MCGRAW
Other - Last Name:ZWHALEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:769 MEDICAL CENTER CT STE 300
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6602
Mailing Address - Country:US
Mailing Address - Phone:619-482-3090
Mailing Address - Fax:619-482-7350
Practice Address - Street 1:769 MEDICAL CENTER CT STE 300
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6602
Practice Address - Country:US
Practice Address - Phone:619-482-3090
Practice Address - Fax:619-482-7350
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA643732163WC1500X, 163WX0002X
CA23792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk