Provider Demographics
NPI:1265457469
Name:MCCARTHY, ANN (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 US 130 N SUITE 203
Mailing Address - Street 2:RANCOCAS ANESTHESIOLOGY, P.A.
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077
Mailing Address - Country:US
Mailing Address - Phone:856-829-9345
Mailing Address - Fax:856-829-3605
Practice Address - Street 1:435 HUFRVILLE - CROSS KEYS RD
Practice Address - Street 2:KENNEDY HEALTH SYSTEM
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012
Practice Address - Country:US
Practice Address - Phone:856-582-2500
Practice Address - Fax:856-829-3605
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11049500367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered