Provider Demographics
NPI:1619967486
Name:MCCARTHY, JOAN F (WHNP)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:F
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 N MAIN ST
Mailing Address - Street 2:APARTMENT19204
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2061
Mailing Address - Country:US
Mailing Address - Phone:508-678-2058
Mailing Address - Fax:
Practice Address - Street 1:285 OLD WESTPORT RD
Practice Address - Street 2:HEALTH OFFICE UMASS DARTMOUTH
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2356
Practice Address - Country:US
Practice Address - Phone:508-999-8982
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA126107363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health