Individual
MS. MARTHA MARIE MCGRORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAN, RN, CPNP
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
(651) 312-3188
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 291-2848
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 109383 8
MN
Other
Enumeration date
11/25/2009
Last updated
06/02/2010
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