Healthcare Provider Details

I. General information

NPI: 1518310267
Provider Name (Legal Business Name): AMBER MCGRATH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S MCCALL RD
ENGLEWOOD FL
34223-4500
US

IV. Provider business mailing address

41 28TH AVE APT 3
VENICE CA
90291-4348
US

V. Phone/Fax

Practice location:
  • Phone: 941-300-6426
  • Fax:
Mailing address:
  • Phone: 310-384-4339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.18551-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007696
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11040334
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: