Provider Demographics
NPI:1346078003
Name:MCGILL, GINNY (RN, ICCE)
Entity type:Individual
Prefix:MRS
First Name:GINNY
Middle Name:
Last Name:MCGILL
Suffix:
Gender:F
Credentials:RN, ICCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 W OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3526
Mailing Address - Country:US
Mailing Address - Phone:215-906-2530
Mailing Address - Fax:
Practice Address - Street 1:5511 W OXFORD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3526
Practice Address - Country:US
Practice Address - Phone:215-906-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator