Healthcare Provider Details

I. General information

NPI: 1952363798
Provider Name (Legal Business Name): HELEN F. MCGREGOR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MADIGAN ARMY MEDICAL CENTER BUILDING 9040, FITZSIMMONS DRIVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

PO BOX 7664
COVINGTON WA
98042-0045
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-3405
  • Fax:
Mailing address:
  • Phone: 253-968-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP30004228
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: