Provider Demographics
NPI:1356005375
Name:MCNATT, GREGORY MAURICE AMEEN
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:MAURICE AMEEN
Last Name:MCNATT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 EAYRESTOWN RD APT 16
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-3125
Mailing Address - Country:US
Mailing Address - Phone:267-847-8500
Mailing Address - Fax:
Practice Address - Street 1:744 EAYRESTOWN RD APT 16
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-3125
Practice Address - Country:US
Practice Address - Phone:267-847-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide