Provider Demographics
NPI:1871751669
Name:MCGREAL, PEGEEN ANNE (RN, MSN,CPNP)
Entity type:Individual
Prefix:MS
First Name:PEGEEN
Middle Name:ANNE
Last Name:MCGREAL
Suffix:
Gender:F
Credentials:RN, MSN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 YALE DR
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1614
Mailing Address - Country:US
Mailing Address - Phone:732-741-3760
Mailing Address - Fax:
Practice Address - Street 1:141 BODMAN PL
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1014
Practice Address - Country:US
Practice Address - Phone:800-862-3330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09867200363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics