Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9233792 | FL |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 201400592NP-PP | OR |
N | 363LA2200X | Nurse Practitioner - Adult Health | 201400584NP-PP | OR |
NPI | 1023251212 |
---|---|
Provider Name | Heather Faye Mcgrath |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 14/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001050700 | (05) | FL |
001050700 | (05) | OR |