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NPI Code Detail

MEDICARE: CATHERINE MARGARET STANTON RN

MEDICARE:   CATHERINE MARGARET STANTON  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
1163WI0500XInfusion Therapy Registered Nurse95087204CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195087204OTHERCAREGISTERED NURSE

General Provider Information

NPI Number : 1255907028
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE MARGARET STANTON RN
Provider Business Mailing Address
First Line : 365 RODEO DR
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-2665
Country : US
Telephone Number : 805-286-7099
Fax Number : 805-481-6596
Provider Business Practice Location Address
First Line : 107 NELSON ST
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-3318
Country : US
Telephone Number : 805-242-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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