Individual
REBECCA JANE MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3919 E OVERLAND RD, MERIDIAN, ID 83642-6710
(208) 506-3618
Mailing address
410 N 27TH ST, BOISE, ID 83702-4701
(570) 573-9694
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61953
ID
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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