Provider Demographics
NPI:1407282577
Name:MCGARRAH, EMILY ALANE (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ALANE
Last Name:MCGARRAH
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ALANE
Other - Last Name:BLEVINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 E OVILLA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3833
Mailing Address - Country:US
Mailing Address - Phone:972-617-5225
Mailing Address - Fax:
Practice Address - Street 1:301 E OVILLA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3833
Practice Address - Country:US
Practice Address - Phone:972-617-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX733005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily