Individual
MARY J MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2465720
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9714
MN
Other
Enumeration date
09/28/2022
Last updated
11/16/2022
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