Provider Demographics
NPI:1700027067
Name:MCCARY, ANNA T (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:T
Last Name:MCCARY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23489 RAPIDAN RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELLS
Mailing Address - State:VA
Mailing Address - Zip Code:22729-1852
Mailing Address - Country:US
Mailing Address - Phone:757-338-1896
Mailing Address - Fax:
Practice Address - Street 1:303B N MADISON RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1015
Practice Address - Country:US
Practice Address - Phone:540-603-6412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1700027067Medicaid