MEDICARE: JOSEPHINE NOELLA MCCASKILL APN, BC

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	363LF0000X	Family Nurse Practitioner	315658	AZ
2	363LF0000X	Family Nurse Practitioner	95003396	CA
3	363LF0000X	Family Nurse Practitioner	277000034	IL
4	363LF0000X	Family Nurse Practitioner	64101	NM
5	363LF0000X	Family Nurse Practitioner	AC008395	MD

General Provider Information

NPI Number	:	1437168374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE NOELLA MCCASKILL APN, BC

Provider Business Mailing Address
First Line	:	4049 PACIFIC LOOP
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-0842
Country	:	US
Telephone Number	:	575-231-9402
Fax Number	:	575-205-0356

Provider Business Practice Location Address
First Line	:	4049 PACIFIC LOOP
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-0842
Country	:	US
Telephone Number	:	575-231-9402
Fax Number	:	575-205-0356

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	12/19/2025

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