Individual
MS. LAURA J MCGATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
4868 BRIDGE RD STE 310, SUFFOLK, VA 23435-2048
(757) 483-7113
(757) 483-7151
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 483-7113
(757) 483-7151
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024177831
VA
363LP0200X
Pediatric Nurse Practitioner
209004858
IL
Other
Enumeration date
08/01/2005
Last updated
09/16/2019
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