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NPI Code Detail

MEDICARE: CAROLINE MCGRATH CRNA

MEDICARE: CAROLINE MCGRATH CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP9189575FL

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 : 1740271360
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE MCGRATH CRNA
Provider Business Mailing Address
First Line : 1726 BOLTON VILLAGE LN
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-8714
Country : US
Telephone Number : 850-687-4733
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAR WALT DR
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-6708
Country : US
Telephone Number : 850-687-4733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 08/17/2016

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Directions to “ CAROLINE MCGRATH CRNA” Practice Location

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