Healthcare Provider Details

I. General information

NPI: 1699081331
Provider Name (Legal Business Name): CATHERINE ANGELL MCCABE MSN, CNM, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WESCOTT DR SUITE 100
FLEMINGTON NJ
08822-4600
US

IV. Provider business mailing address

1100 WESCOTT DR SUITE 100
FLEMINGTON NJ
08822-4600
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-6469
  • Fax: 908-788-6483
Mailing address:
  • Phone: 908-788-6469
  • Fax: 908-788-6483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR12698300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00048600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: