Individual
DEBORAH SUE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44905 CARVER DR, KENAI, AK 99611-6742
(907) 260-7442
Mailing address
44905 CARVER DR, KENAI, AK 99611-6742
(907) 260-7442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10770
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM6242
—
AK
05
—
CMG624
—
AK
Enumeration date
03/30/2007
Last updated
07/08/2007
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