Individual
CHRISTINE L. MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3911
WI
363L00000X
Nurse Practitioner
Primary
CNP-01849
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40438562
—
NM
Enumeration date
11/20/2009
Last updated
11/11/2020
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