Individual
MRS. MARY ELIZABETH MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
12040 S LAKES DR, STE 190, RESTON, VA 20191-1245
(703) 464-0686
(703) 464-0698
Mailing address
12040 S LAKES DR, STE 190, RESTON, VA 20191-1246
(703) 464-0686
(703) 464-0698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0017137045
VA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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