Provider Demographics
NPI:1427859941
Name:MCGAUGHY, DARRELL
Entity type:Individual
Prefix:
First Name:DARRELL
Middle Name:
Last Name:MCGAUGHY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 CABALETTA LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5461
Mailing Address - Country:US
Mailing Address - Phone:702-483-0739
Mailing Address - Fax:
Practice Address - Street 1:98 CABALETTA LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-5461
Practice Address - Country:US
Practice Address - Phone:702-483-0739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator