# DAVID A. MCGATHA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053660860
- **Gender:** Man
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 126766 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 2012029889 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2012029889 | MO | Yes |

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 05/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053660860 | — | MO |
| 01 | — | 431560263 | TRICARE | MO |
| 01 | — | P01213219 | RR MCR | MO |