Individual
KATHLEEN MAVOURNEEN MC CARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
66 BEARFORT TER, RINGWOOD, NJ 07456-2952
(973) 962-1853
Mailing address
66 BEARFORT TER, RINGWOOD, NJ 07456-2952
(973) 962-1853
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
26NO06753200
NJ
163WG0000X
General Practice Registered Nurse
Primary
26NC06753200
NJ
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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