Individual
DENISE MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756
(603) 650-5104
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001963
CT
363L00000X
Nurse Practitioner
Primary
077684-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001963CT
LICENSE NUMBER
CT
05
—
004019634
—
CT
05
—
004204640
—
CT
01
—
400001963CT02
BCBC CT
—
Enumeration date
12/23/2005
Last updated
03/07/2023
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