NPI | 1801337761 |
---|---|
Former Name | ANDRA L MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007329A) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IN 28185818A) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28185818A) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71007329A) | |
Enumeration Date | 2017-03-13 |
Last Update Date | 2023-10-11 |