Provider Demographics
NPI:1992770556
Name:MCGEE, MICHAEL T (NP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:T
Last Name:MCGEE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N DUPONT BLVD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1019
Mailing Address - Country:US
Mailing Address - Phone:302-450-3481
Mailing Address - Fax:302-430-5448
Practice Address - Street 1:800 N DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1019
Practice Address - Country:US
Practice Address - Phone:302-450-3481
Practice Address - Fax:302-430-5448
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN296984L163W00000X
PAVP003845B363L00000X
DELG-0012103363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
S65531Medicare UPIN
PA020782Medicare ID - Type Unspecified