Individual
SANDRA E MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 E REELFOOT AVE, STE 202 A, UNION CITY, TN 38261-6047
(731) 885-3866
(731) 885-3868
Mailing address
1720 E REELFOOT AVE, STE 202 A, UNION CITY, TN 38261-6047
(731) 885-3866
(731) 885-3868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150373
—
TN
01
—
200448096
FEDRERAL TAX ID
TN
01
—
4075871
BLUE CROSS BLUE SHIELD
TN
05
—
9523
—
TN
Enumeration date
04/12/2006
Last updated
12/04/2009
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