Individual provider · Type 1 NPI

Mary Reilly McGonagle, FNP

Family Nurse Practitioner · Malone, NY

NPI number 1528091436 Active

Practice location

133 Park St
Malone, NY 12953-1243

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	334888 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1528091436

Mary Reilly McGonagle, FNP's National Provider Identifier is 1528091436, issued on Jul 7, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Malone, NY. The record was last updated on Oct 18, 2012.