Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP009640 | PA |
NPI | 1356587901 |
---|---|
Provider Name | Margaret Ann Mcgraw |
First Address | Erie, PA 16505-2222 |
Second Address | Erie, PA 16550-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2009 |
Last Update Date | 05/01/2009 |