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NPI Code Detail

MEDICARE: ANDRENA M MCGROARTY NP

MEDICARE:   ANDRENA M MCGROARTY  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 Practitioner24199CA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11003844FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841576139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRENA M MCGROARTY NP
Provider Business Mailing Address
First Line : 6804 CECELIA DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4935
Country : US
Telephone Number : 855-232-0644
Fax Number :
Provider Business Practice Location Address
First Line : 6804 CECELIA DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34653-4935
Country : US
Telephone Number : 855-232-0644
Fax Number : 888-546-0488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2011
Last Update Date : 10/09/2019

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Directions to “ ANDRENA M MCGROARTY NP” Practice Location

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