Individual
MS. GLORIA J MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1834 W WISCONSIN AVE STE 100, MARQUETTE NEIGHBORHOOD HEALTH CENTER, MILWAUKEE, WI 53233-2125
(414) 933-9100
(414) 933-9200
Mailing address
1834 W WISCONSIN AVE STE 100, MARQUETTE NEIGHBORHOOD HEALTH CENTER, MILWAUKEE, WI 53233-2125
(414) 933-9100
(414) 933-9200
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
65447
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008006261Z
HUMANA
—
05
—
43893100
—
WI
Enumeration date
05/15/2006
Last updated
12/01/2011
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