Provider Demographics
NPI:1548700594
Name:MCCARTNEY, CARRIE (PMHNP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:MCCARTNEY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16435 N SCOTTSDALE RD
Mailing Address - Street 2:STE 400
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1745
Mailing Address - Country:US
Mailing Address - Phone:602-675-9005
Mailing Address - Fax:
Practice Address - Street 1:230 SE 2ND ST STE A
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-2486
Practice Address - Country:US
Practice Address - Phone:541-289-7777
Practice Address - Fax:541-289-7778
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10567363LA2200X, 363LP2300X
OR202104437NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care