Provider Demographics
NPI:1750163663
Name:MCWHIRTER, CARLY (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:MCWHIRTER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 SINGING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8107
Mailing Address - Country:US
Mailing Address - Phone:615-310-2128
Mailing Address - Fax:
Practice Address - Street 1:1007 SINGING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8107
Practice Address - Country:US
Practice Address - Phone:615-310-2128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL-157097163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant