Individual
MS. MAUREEN L MCGARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
390 S MAIN ST, SUITE 302, ROCKY MOUNT, VA 24151-1711
(540) 484-4855
(540) 484-4865
Mailing address
7817 BOOKER T WASHINGTON HWY, WIRTZ, VA 24184-4270
(540) 721-3319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001065202
VA
363L00000X
Nurse Practitioner
0024-166101
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010372682
—
VA
Enumeration date
01/12/2006
Last updated
12/06/2008
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