Individual
SALLYANN MCCARTHY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 120-B, FREDERICK, MD 21702-4397
(301) 698-7385
(240) 379-6050
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(301) 698-7385
(240) 379-6050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R083371
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222-0327
CERT DIABETES EDUCATOR
MD
01
—
R083371
RN LICENSE
MD
Enumeration date
08/29/2005
Last updated
07/08/2007
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