Doctor Name: | HEATHER MCGHEE |
NPI Number: | 1063750057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | F1212401 |
Business Practice Address: | 200 Meadowbrook Dr Pecos, TX - 797726607 |
Business Phone Number: | 4324470565 |
Business Fax Number: | |
Mailing Address: | 1914 Wyoming St, PECOS |
State: | TX |
Postal Code: | 797726717 |
Phone Number: | 4322760450 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F1212401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |