MEDICARE: MICHELE L. CATALINE-BECKER R.N.

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	163WC0400X	Case Management Registered Nurse	RN522476	CA

General Provider Information

NPI Number	:	1679635619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE L. CATALINE-BECKER R.N.

Provider Business Mailing Address
First Line	:	1210 LA GRANADA DR
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-4850
Country	:	US
Telephone Number	:	760-736-8915
Fax Number	:	760-591-7668

Provider Business Practice Location Address
First Line	:	1210 LA GRANADA DR
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-4850
Country	:	US
Telephone Number	:	760-736-8915
Fax Number	:	760-591-7668

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

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