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Contact Information

SHANNA M MCGRATH, MPH, PA-C, RD, CDE
1001 S KNIK GOOSE BAY RD
WASILLA, AK99654-8083
 Phone: 907-631-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHANNA M MCGRATH · (Female)

NPI # 1548300585
Status Active
Credentials MPH, PA-C, RD, CDE
Entity Individual
Enumeration date 02/07/2007
Last updated 09/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 178095
  • AK License # 193
  • AK Other 193 STATE OF ALASKA LIC
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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