Healthcare Provider Details

I. General information

NPI: 1437168374
Provider Name (Legal Business Name): JOSEPHINE NOELLA MCCASKILL APN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4049 PACIFIC LOOP
LAS CRUCES NM
88012-0842
US

IV. Provider business mailing address

4049 PACIFIC LOOP
LAS CRUCES NM
88012-0842
US

V. Phone/Fax

Practice location:
  • Phone: 575-231-9402
  • Fax: 575-205-0356
Mailing address:
  • Phone: 575-231-9402
  • Fax: 575-205-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number315658
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95003396
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277000034
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number64101
License Number StateNM
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC008395
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: