Individual
MONA D MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(381) 342-1000
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(381) 342-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25879
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007327000
—
WV
01
—
001722900
BCBS
WV
01
—
205542387
AAP TRI CARE NUMBER
WV
Enumeration date
10/05/2006
Last updated
01/17/2018
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