Mary Ann Carthan, RN
Individual provider Active NPI Registered Nurse · Malvern, AR
NPI 1174599443 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1174599443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R090690 (AR)
- Practice address
- 1628 E Page Ave
Malvern, AR 72104-4524 - Phone
- (501) 315-3344
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R090690 | AR | MD | Registered Nurse |
| L41077 | AR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L41077 | AR | |
| Registered Nurse | 163W00000X | R090690 | AR | Yes |
Addresses
Primary practice location
1628 E Page Ave
Malvern, AR 72104-4524
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other practice location 1
201 N 26th St
Arkadelphia, AR 71923-4336
Phone (870) 246-4123 ext. 1915
Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.