Provider Demographics
NPI:1215296140
Name:MCGRATH, KATHRYN (NP)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:FOGARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:9 INDUSTRIAL RD STE 5
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3736
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:
Practice Address - Street 1:1 LUMBER ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2363
Practice Address - Country:US
Practice Address - Phone:508-625-3535
Practice Address - Fax:508-625-1973
Is Sole Proprietor?:No
Enumeration Date:2012-05-12
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN270669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily