Provider Demographics
NPI:1124518907
Name:MCCARTHY, ALISON K (MSN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:K
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:651 ORIZABA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-1325
Mailing Address - Country:US
Mailing Address - Phone:510-415-4029
Mailing Address - Fax:
Practice Address - Street 1:3816 WOODRUFF AVE STE 209
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2145
Practice Address - Country:US
Practice Address - Phone:562-496-4749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA774653163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse