Provider Demographics
NPI:1447397815
Name:MCGRORTY, ANNE M (CPNP DNP)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:MCGRORTY
Suffix:
Gender:F
Credentials:CPNP DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RED LION PEDIATRICS
Mailing Address - Street 2:1338 BRISTOL PIKE, STE. 202
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5679
Mailing Address - Country:US
Mailing Address - Phone:215-632-5437
Mailing Address - Fax:215-824-4114
Practice Address - Street 1:RED LION PEDIATRICS
Practice Address - Street 2:1338 BRISTOL PIKE, STE. 202
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5679
Practice Address - Country:US
Practice Address - Phone:215-632-5437
Practice Address - Fax:215-824-4114
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP005099D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics