Provider Demographics
NPI:1457608713
Name:MCCARTHY, SHAYLA M (NP)
Entity Type:Individual
Prefix:
First Name:SHAYLA
Middle Name:M
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHAYLA
Other - Middle Name:M
Other - Last Name:SHRESTHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:55 HIGHLAND AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2100
Mailing Address - Country:US
Mailing Address - Phone:978-354-4611
Mailing Address - Fax:978-354-4651
Practice Address - Street 1:55 HIGHLAND AVE STE 304
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2100
Practice Address - Country:US
Practice Address - Phone:978-354-4611
Practice Address - Fax:978-354-4651
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2265658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily