Provider Demographics
NPI:1659662245
Name:MCCARTY, VALERIE MICHELLE (LPN)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MICHELLE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 PRIVATE DRIVE 154
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8812
Mailing Address - Country:US
Mailing Address - Phone:304-942-2226
Mailing Address - Fax:
Practice Address - Street 1:95 PRIVATE DRIVE 154
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8812
Practice Address - Country:US
Practice Address - Phone:304-942-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 127482-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse