MEDICARE: MRS. LINDA SUSAN MCCAULEY-MCNAIR 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	163WH0200X	Home Health Registered Nurse	R.N.-411060	CA
2	163WM1400X	Nurse Massage Therapist (NMT)	R.N.-411060	CA
3	163WC0400X	Case Management Registered Nurse	R.N.-411060	CA
4	163WI0500X	Infusion Therapy Registered Nurse	R.N.-411060	CA
5	163WH1000X	Hospice Registered Nurse	R.N.-411060	CA
6	163WM0705X	Medical-Surgical Registered Nurse	R.N.-411060	CA
7	163WE0900X	Enterostomal Therapy Registered Nurse	R.N.-411060	CA
8	163WN1003X	Nutrition Support Registered Nurse	R.N.-411060	CA
9	163WX0800X	Orthopedic Registered Nurse	R.N.-41160	CA
10	163WP0000X	Pain Management Registered Nurse	R.N.-411060	CA
11	163WP0808X	Psychiatric/Mental Health Registered Nurse	R.N.-411060	CA
12	163WG0600X	Gerontology Registered Nurse	R.N.-411060	CA
13	163WC3500X	Cardiac Rehabilitation Registered Nurse	R.N.-411060	CA
14	163WD0400X	Diabetes Educator Registered Nurse	R.N.-411060	CA
15	163WW0000X	Wound Care Registered Nurse	R.N.-411060	CA

General Provider Information

NPI Number	:	1639354020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA SUSAN MCCAULEY-MCNAIR R.N.

Provider Business Mailing Address
First Line	:	2401 LA MESA CT
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-5137
Country	:	US
Telephone Number	:	714-292-4333
Fax Number	:	949-645-8849

Provider Business Practice Location Address
First Line	:	2401 LA MESA CT
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-5137
Country	:	US
Telephone Number	:	714-292-4333
Fax Number	:	949-645-8849

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

Provider Enumeration Date	:	01/03/2008
Last Update Date	:	02/22/2008

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