Provider Demographics
NPI:1023354891
Name:MCCARTY, EMILY SARAH (RN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:SARAH
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 220TH ST SE STE 204
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8466
Mailing Address - Country:US
Mailing Address - Phone:425-486-1000
Mailing Address - Fax:425-939-5220
Practice Address - Street 1:1629 220TH ST SE STE 204
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8466
Practice Address - Country:US
Practice Address - Phone:425-486-1000
Practice Address - Fax:425-939-5220
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60281390163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse