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NPI Code Detail

MEDICARE: CHRISTINA B MCCARTHY CPNP

MEDICARE: CHRISTINA B MCCARTHY CPNP
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
1363LP0200XPediatric Nurse Practitioner71001436AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000693919OTHERINANTHEM PIN

General Provider Information

NPI Number : 1710038013
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA B MCCARTHY CPNP
Provider Business Mailing Address
First Line : 3400 LAFAYETTE RD
Second Line : SUITE 200
City : INDIANAPOLIS
State : IN
Zip : 46222-1146
Country : US
Telephone Number : 317-291-7422
Fax Number : 317-291-7433
Provider Business Practice Location Address
First Line : 3400 LAFAYETTE RD
Second Line : SUITE 200
City : INDIANAPOLIS
State : IN
Zip : 46222-1146
Country : US
Telephone Number : 317-291-7422
Fax Number : 317-291-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 08/20/2019

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