MEDICARE: DR. ANNE C. MCCARTY AUD

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
1	231H00000X	Audiologist	1142	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1629079868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE C. MCCARTY AUD

Provider Business Mailing Address
First Line	:	2763 CLIFFROSE DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87122-1229
Country	:	US
Telephone Number	:	505-328-7387
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 EUBANK BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-1312
Country	:	US
Telephone Number	:	505-298-6752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	01/07/2011

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