Provider Demographics
NPI:1346339983
Name:MCCARRON, NOREEN MARY (ARNP, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:MARY
Last Name:MCCARRON
Suffix:
Gender:F
Credentials:ARNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4875 HWY 20
Mailing Address - Street 2:834 SHERIDAN
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98388
Mailing Address - Country:US
Mailing Address - Phone:380-385-2846
Mailing Address - Fax:
Practice Address - Street 1:834 SHERIDAN ST
Practice Address - Street 2:JEFFERSON HEALTH CARE HOSPITAL
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98388
Practice Address - Country:US
Practice Address - Phone:380-385-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30000106363L00000X
WA028438367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB03037Medicare ID - Type Unspecified