Provider Demographics
NPI:1396174371
Name:MCCARTY, VIRGINIA LEE (RN CDE)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LEE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:RN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15005 SHADY GROVE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6340
Mailing Address - Country:US
Mailing Address - Phone:301-251-8611
Mailing Address - Fax:301-251-8779
Practice Address - Street 1:15005 SHADY GROVE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6340
Practice Address - Country:US
Practice Address - Phone:301-251-8611
Practice Address - Fax:301-251-8779
Is Sole Proprietor?:No
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR187748163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator