Provider Demographics
NPI:1750357745
Name:MCGRATH, SHERYL L (CRNA)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15056
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33318-5056
Mailing Address - Country:US
Mailing Address - Phone:954-579-9270
Mailing Address - Fax:
Practice Address - Street 1:561 SANDLEWOOD LN
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1935
Practice Address - Country:US
Practice Address - Phone:954-579-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLANT3080532367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered