Healthcare Provider Details

I. General information

NPI: 1033593355
Provider Name (Legal Business Name): MR. MICHAEL PATRICK MCGEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 PUTNAM PIKE #15
GREENVILLE RI
02828-3000
US

IV. Provider business mailing address

466 PUTNAM PIKE #15
GREENVILLE RI
02828-3000
US

V. Phone/Fax

Practice location:
  • Phone: 401-949-2010
  • Fax:
Mailing address:
  • Phone: 401-949-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN00704
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: