| Doctor Name: | MS. MARY KAY MCCARTY |
| NPI Number: | 1003143363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 1109 |
| Business Practice Address: | 3925 Tudor Centre Dr #100 Anchorage, AK - 995085931 |
| Business Phone Number: | 9075618301 |
| Business Fax Number: | 9075618170 |
| Mailing Address: | Po Box 4105, PORTLAND |
| State: | OR |
| Postal Code: | 972084105 |
| Phone Number: | 8669071068 |
| Fax Number: | 4259179141 |
| NPI Enumeration Date: | 11/06/2009 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |