Provider Demographics
NPI:1962554238
Name:MCCARTY, TERRY L (RN , ARNP)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:L
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:RN , ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2223
Mailing Address - Country:US
Mailing Address - Phone:859-266-0933
Mailing Address - Fax:
Practice Address - Street 1:650 NEWTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1113
Practice Address - Country:US
Practice Address - Phone:859-252-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1027430163WS0200X
KY576P363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WS0200XNursing Service ProvidersRegistered NurseSchool
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics