Provider Demographics
NPI:1528893567
Name:MCCARTHY, ERIN (NTP, MWRP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:NTP, MWRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BANK ST # 412
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-6518
Mailing Address - Country:US
Mailing Address - Phone:530-802-2268
Mailing Address - Fax:
Practice Address - Street 1:261 GLENBROOK DR
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-4010
Practice Address - Country:US
Practice Address - Phone:501-628-4225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty