Healthcare Provider Details

I. General information

NPI: 1700027067
Provider Name (Legal Business Name): ANNA T. MCCARY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303B N MADISON RD
ORANGE VA
22960-1015
US

IV. Provider business mailing address

23489 RAPIDAN RD
MITCHELLS VA
22729-1852
US

V. Phone/Fax

Practice location:
  • Phone: 540-603-6412
  • Fax:
Mailing address:
  • Phone: 757-338-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024168237
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: