| Doctor Name: | KATHLEEN MAVOURNEEN MC CARTY |
| NPI Number: | 1598994071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APN |
| License Number: | 26NO06753200 |
| Business Practice Address: | 66 Bearfort Ter Ringwood, NJ - 074562952 |
| Business Phone Number: | 9739621853 |
| Business Fax Number: | |
| Mailing Address: | 66 Bearfort Ter, RINGWOOD |
| State: | NJ |
| Postal Code: | 074562952 |
| Phone Number: | 9739621853 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2009 |
| NPI Last Update Date: | 07/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 26NO06753200 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |