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NPI Code Detail

MEDICARE: MRS. KRISTEN R MCGAHA NP

MEDICARE: MRS. KRISTEN R MCGAHA NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR130712MD

General Provider Information

NPI Number : 1477898591
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTEN R MCGAHA NP
Provider Business Mailing Address
First Line : 103 N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 103 N MAIN ST
Second Line :
City : BEL AIR
State : MD
Zip : 21014-3539
Country : US
Telephone Number : 888-333-1345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 09/04/2024

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