Mcgrath, Shanna M

Mcgrath, Shanna M is an individual health care provider with primary practice located at 1001 S Knik Goose Bay Rd , Wasilla AK 99654-8083. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mcgrath, Shanna M can be contacted via phone (907) 631-7800.

Contact Information

Primary practice address
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083
Phone: (907) 631-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 193 Alaska
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 178095 Alaska

Profile Details

NPI number 1548300585
LBN Legal business name Mcgrath, Shanna M
Credentials MPH, PA-C, RD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548300585 NPPES
Alaska Other 193 STATE OF ALASKA LIC

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