Individual
MICHAEL K. MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
Mailing address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71002865A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200858570
—
IN
Enumeration date
04/24/2007
Last updated
02/10/2015
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