Provider Demographics
NPI:1952886202
Name:MCGREGOR, ERMELINDA APRIL
Entity Type:Individual
Prefix:
First Name:ERMELINDA
Middle Name:APRIL
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 JULY DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3082
Mailing Address - Country:US
Mailing Address - Phone:254-630-9776
Mailing Address - Fax:
Practice Address - Street 1:4306 JULY DR UNIT A
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-3082
Practice Address - Country:US
Practice Address - Phone:254-630-9776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344953164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse