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NPI Code Detail

MEDICARE: MRS. MARGARET DEANNE NEWTON MCMILLAN FNP

MEDICARE: MRS. MARGARET DEANNE NEWTON MCMILLAN FNP
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
1363LF0000XFamily Nurse PractitionerRN320758CA
2363LF0000XFamily Nurse PractitionerCERT 15573CA

General Provider Information

NPI Number : 1821213778
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET DEANNE NEWTON MCMILLAN FNP
Provider Business Mailing Address
First Line : 14330 CULVER DR
Second Line : CVS CAREMARK/MINUTE CLINIC ATTN CREDENTIALING
City : IRVINE
State : CA
Zip : 92604-0303
Country : US
Telephone Number : 401-770-1981
Fax Number :
Provider Business Practice Location Address
First Line : 14330 CULVER DR
Second Line :
City : IRVINE
State : CA
Zip : 92604-0303
Country : US
Telephone Number : 949-559-1522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 12/28/2015

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