Janice Marie McGrath, LPN

Individual provider Active NPI Licensed Practical Nurse · Port Ewen, NY

NPI 1962776229 · NPPES record last updated Oct 3, 2016

Key facts

NPI
1962776229
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
254826 (NY)
Practice address
192 W Stout Ave
Port Ewen, NY 12466-7745
Phone
(845) 520-8448
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
254826NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 254826 NY Yes

Addresses

Primary practice location

192 W Stout Ave
Port Ewen, NY 12466-7745

Mailing address

PO Box 1247
Port Ewen, NY 12466-1247
Phone (845) 520-8448

Other providers in Port Ewen, NY

All providers in Port Ewen, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.