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NPI Code Detail

MEDICARE: SARAH J MCCARTY APNP

MEDICARE: SARAH J MCCARTY APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner4039-033WI

General Provider Information

NPI Number : 1194042325
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH J MCCARTY APNP
Provider Business Mailing Address
First Line : 2134 MOUNT VERNON AVE
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-2107
Country : US
Telephone Number : 608-295-2188
Fax Number :
Provider Business Practice Location Address
First Line : 2917 INTERNATIONAL LN
Second Line :
City : MADISON
State : WI
Zip : 53704-3135
Country : US
Telephone Number : 608-240-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2010
Last Update Date : 04/28/2010

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