Provider Demographics
NPI:1689450181
Name:MCGRADY, ROBIN L (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:MCGRADY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11619 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-4562
Mailing Address - Country:US
Mailing Address - Phone:216-855-6295
Mailing Address - Fax:
Practice Address - Street 1:11619 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-4562
Practice Address - Country:US
Practice Address - Phone:216-855-6295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN262275163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse