Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024169377 | VA |
NPI | 1104110584 |
---|---|
Provider Name | Erin Ashley Kann Mccarthy |
First Address | Virginia Beach, VA 23462-7958 |
Second Address | Virginia Beach, VA 23462-7958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2011 |
Last Update Date | 06/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0024169377 | LICENSE (01) | VA |