Provider Demographics
NPI:1336271923
Name:MCCARTHY, PATRICIA MARY (ARNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARY
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2055 E SOUTH BLVD
Mailing Address - Street 2:STE 403
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2001
Mailing Address - Country:US
Mailing Address - Phone:334-613-0807
Mailing Address - Fax:334-386-4175
Practice Address - Street 1:2055 E SOUTH BLVD
Practice Address - Street 2:STE 403
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2001
Practice Address - Country:US
Practice Address - Phone:334-613-0807
Practice Address - Fax:334-386-4175
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9236739363L00000X
MARN133971363L00000X
AL1-070613363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner