Individual
AMBER MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19353 VICTORY BLVD, RESEDA, CA 91335
(818) 996-4742
Mailing address
41 28TH AVE APT 3, VENICE, CA 90291-4348
(310) 384-4339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007696
CA
363LF0000X
Family Nurse Practitioner
COA.18551-NP
OH
Other
Enumeration date
07/18/2016
Last updated
03/17/2018
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