Provider Demographics
NPI:1699946483
Name:MCGILL, ANA ALICIA (RHNP & RN)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:ALICIA
Last Name:MCGILL
Suffix:
Gender:M
Credentials:RHNP & RN
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:ALICIA
Other - Last Name:TIRADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RHNP & RN
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:5727 N FRESNO ST
Practice Address - Street 2:STE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6000
Practice Address - Country:US
Practice Address - Phone:559-446-1515
Practice Address - Fax:559-446-1273
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP6387363LW0102X
CANP 6387363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology