Individual
ANN MARIE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 COUNTY ROAD 6788, FRUITLAND, NM 87416
(505) 320-5209
Mailing address
PO BOX 1015, WATERFLOW, NM 87421-1015
(505) 320-5209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00650
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693384
—
AZ
05
—
71883070
—
CO
05
—
R5088
—
NM
Enumeration date
10/14/2005
Last updated
08/28/2013
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