Provider Demographics
NPI:1417387820
Name:MCGERTY, BRIANNA M (PA)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:M
Last Name:MCGERTY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:611 N IRON BRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4932
Mailing Address - Country:US
Mailing Address - Phone:509-444-8888
Mailing Address - Fax:509-444-7806
Practice Address - Street 1:5901 N LIDGERWOOD ST
Practice Address - Street 2:STE 126
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5095
Practice Address - Country:US
Practice Address - Phone:509-434-1990
Practice Address - Fax:509-340-8986
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2022-04-08
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Provider Licenses
StateLicense IDTaxonomies
AZ5526363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant