Individual
CHRISTINA B MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Mailing address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71001436A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000693919
ANTHEM PIN
IN
05
—
200491010
—
IN
Enumeration date
01/15/2007
Last updated
08/20/2019
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