Provider Demographics
NPI:1487351607
Name:MCCARTHY, PAXTON (CNM, WHNP-BC)
Entity type:Individual
Prefix:
First Name:PAXTON
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4114 NW NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1031
Mailing Address - Country:US
Mailing Address - Phone:815-291-4416
Mailing Address - Fax:
Practice Address - Street 1:3500 2ND AVE STE 1
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-4468
Practice Address - Country:US
Practice Address - Phone:515-349-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF173009363LW0102X
IAB172447367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health