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NPI Code Detail

MEDICARE: TAMMY L MCCARTY APRN

MEDICARE:   TAMMY L MCCARTY  APRN
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
1364S00000XClinical Nurse SpecialistAPRN9205845FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407851819
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY L MCCARTY APRN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-9890
Fax Number : 239-343-4191
Provider Business Practice Location Address
First Line : 15901 BASS RD
Second Line : SUITE 102
City : FORT MYERS
State : FL
Zip : 33908-3838
Country : US
Telephone Number : 239-343-9890
Fax Number : 239-343-9898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 08/12/2022

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Directions to “ TAMMY L MCCARTY APRN” Practice Location

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