Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | RN501637 | CA |
NPI | 1043372691 |
---|---|
Provider Name | Joanne Mccartney |
First Address | Oakdale, CA 95361 |
Second Address | Oakdale, CA 95361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/10/2012 |