Provider Demographics
NPI:1528396322
Name:MCGRADY, CATHERINE (MSN, CRNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MCGRADY
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 KING FARM BLVD
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5979
Mailing Address - Country:US
Mailing Address - Phone:240-632-8152
Mailing Address - Fax:
Practice Address - Street 1:800 KING FARM BLVD
Practice Address - Street 2:6TH FLOOR
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5979
Practice Address - Country:US
Practice Address - Phone:240-632-8152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR188188363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health