MEDICARE: ELIZABETH SACHIE DUFFY 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	163WC1500X	Community Health Registered Nurse	614524	CA

General Provider Information

NPI Number	:	1396867115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SACHIE DUFFY R.N,

Provider Business Mailing Address
First Line	:	23656 SHADOW DR
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-8358
Country	:	US
Telephone Number	:	530-268-6578
Fax Number	:

Provider Business Practice Location Address
First Line	:	11484 B AVE
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-2603
Country	:	US
Telephone Number	:	530-886-3643
Fax Number	:	530-886-3613

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/08/2007

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