MEDICARE: CECILE MCCARTHY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	131175	OK

General Provider Information

NPI Number	:	1225798663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILE MCCARTHY RN

Provider Business Mailing Address
First Line	:	7000 N OMAHA AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-2031
Country	:	US
Telephone Number	:	405-708-3262
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 N OMAHA AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-2031
Country	:	US
Telephone Number	:	405-708-3262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2021
Last Update Date	:	12/27/2021

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