Healthcare Provider Details

I. General information

NPI: 1881629772
Provider Name (Legal Business Name): HELEN D MCCARTHY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 W 10TH AVE 246 ATWELL HALL
COLUMBUS OH
43210-2205
US

IV. Provider business mailing address

453 W 10TH AVE 246 ATWELL HALL
COLUMBUS OH
43210-2205
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2957
  • Fax: 614-688-3700
Mailing address:
  • Phone: 614-293-2957
  • Fax: 614-688-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN.126891, COA.08565
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: