Provider Demographics
NPI:1881600724
Name:MCGRATH, PHYLLIS NEYER (RN, MS, VASC CNS)
Entity type:Individual
Prefix:MS
First Name:PHYLLIS
Middle Name:NEYER
Last Name:MCGRATH
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Gender:F
Credentials:RN, MS, VASC CNS
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Mailing Address - Street 1:660 OAK PARK WAY
Mailing Address - Street 2:
Mailing Address - City:EMERALD HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94062-4040
Mailing Address - Country:US
Mailing Address - Phone:650-852-3321
Mailing Address - Fax:650-852-3430
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-852-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA304474364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical