NPI Profile for SHANNA M MCGRATH in WASILLA, AK.
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 |
| 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 |
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| Hospital affiliation(s) |
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SHANNA M MCGRATH
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