Provider Demographics
NPI:1710951090
Name:MCGRATH, PATRICIA (C R N P)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:C R N P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MARYLAND RD STE 400
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1225
Mailing Address - Country:US
Mailing Address - Phone:215-481-4143
Mailing Address - Fax:215-481-6790
Practice Address - Street 1:400 C HUNTINGDON PIKE
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:PA
Practice Address - Zip Code:19046-4431
Practice Address - Country:US
Practice Address - Phone:215-780-2000
Practice Address - Fax:215-780-2007
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP05443B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS80436Medicare UPIN
PA027057Medicare ID - Type Unspecified