Doctor Name: | DEBRA L MCGRAW |
NPI Number: | 1023045952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 41174 |
Business Practice Address: | 88 E Memorial Dr Pomeroy, OH - 457699569 |
Business Phone Number: | 7409920060 |
Business Fax Number: | 7404465154 |
Mailing Address: | 90 Jackson Pike, GALLIPOLIS |
State: | OH |
Postal Code: | 456311560 |
Phone Number: | 7409920060 |
Fax Number: | 7404465154 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 41174 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |