Individual
MR. NATHANAEL SHAY MCGREW
Active
Individual
MR. NATHANAEL SHAY MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, MSN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
SA00005
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001JR
BLUECROSS NUMBER
TX
01
—
AG0914074
AANPCP
TX
01
—
SA00005
LICENSE NUMBER
TX
Enumeration date
03/28/2007
Last updated
10/26/2014
Update your record
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