Provider Demographics
NPI:1851729743
Name:MCGILL, KARLI (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:
Other - Last Name:GASTEAZORO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:701 OSTRUM ST STE 403
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1153
Mailing Address - Country:US
Mailing Address - Phone:484-503-7000
Mailing Address - Fax:484-503-7001
Practice Address - Street 1:206 E BROWN ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-3006
Practice Address - Country:US
Practice Address - Phone:570-421-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5068363LF0000X
MECNP131101363LF0000X
PASP023041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily