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NPI Code Detail

MEDICARE: KRISTIN A MCCARTHY F.N.P

MEDICARE: KRISTIN A MCCARTHY F.N.P
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
1363LF0000XFamily Nurse Practitioner195585MA

General Provider Information

NPI Number : 1225036486
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN A MCCARTHY F.N.P
Provider Business Mailing Address
First Line : 201 S MAIN ST
Second Line :
City : ATHOL
State : MA
Zip : 01331-2102
Country : US
Telephone Number : 978-249-0099
Fax Number : 978-249-7227
Provider Business Practice Location Address
First Line : 201 S MAIN ST
Second Line :
City : ATHOL
State : MA
Zip : 01331-2102
Country : US
Telephone Number : 978-249-0099
Fax Number : 978-249-7227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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Directions to “ KRISTIN A MCCARTHY F.N.P” Practice Location

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