Healthcare Provider Details

I. General information

NPI: 1447375365
Provider Name (Legal Business Name): NANCY ELLEN MCGRATH N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBOR-UCLA MEDICAL CENTER, 1000 WEST CARSON ST BOX 410
TORRANCE CA
90509
US

IV. Provider business mailing address

58 SUMMERFIELD
IRVINE CA
92614-7533
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-2339
  • Fax:
Mailing address:
  • Phone: 949-551-6043
  • Fax: 949-551-6043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number433432
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number433432
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number433432
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number433432
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number433432
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: