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NPI Code Detail

MEDICARE: MRS. CATHERINE LONGSHORE MCCORMACK APRN, RN

MEDICARE:  MRS. CATHERINE LONGSHORE MCCORMACK  APRN, 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
1363L00000XNurse Practitioner27925SC
2363LP0808XPsychiatric/Mental Health Nurse Practitioner27925SC

General Provider Information

NPI Number : 1871744607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE LONGSHORE MCCORMACK APRN, RN
Provider Business Mailing Address
First Line : 23 MAIN ST STE 103
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-6607
Country : US
Telephone Number : 803-290-1898
Fax Number : 859-575-2775
Provider Business Practice Location Address
First Line : 23 MAIN ST STE 103
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-6607
Country : US
Telephone Number : 803-290-1898
Fax Number : 859-575-2775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2008
Last Update Date : 05/07/2026

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Directions to “ MRS. CATHERINE LONGSHORE MCCORMACK APRN, RN” Practice Location

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