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NPI Code Detail

MEDICARE: CHERYL MARIE MCAULIFFE RN

MEDICARE:   CHERYL MARIE MCAULIFFE  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
1163WC0400XCase Management Registered Nurse096000333RNOR

General Provider Information

NPI Number : 1144968314
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL MARIE MCAULIFFE RN
Provider Business Mailing Address
First Line : PO BOX 738
Second Line :
City : MERRILL
State : OR
Zip : 97633-0738
Country : US
Telephone Number : 541-281-1114
Fax Number :
Provider Business Practice Location Address
First Line : 2225 NORTH EL DORADO BLVD.
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601
Country : US
Telephone Number : 541-864-9438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2022
Last Update Date : 05/26/2022

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