MEDICARE: MRS. CATHERINE MARIE MAGHIRANG R.N., P.H.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	163WC0400X	Case Management Registered Nurse	493698	CA

General Provider Information

NPI Number	:	1992981708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHERINE MARIE MAGHIRANG R.N., P.H.N.

Provider Business Mailing Address
First Line	:	PO BOX 2009
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95201-2009
Country	:	US
Telephone Number	:	209-468-2280
Fax Number	:	209-468-8222

Provider Business Practice Location Address
First Line	:	1601 EAST HAZELTON AVENUE
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95201-2009
Country	:	US
Telephone Number	:	209-468-2280
Fax Number	:	209-468-8222

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

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	01/11/2008

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