Provider Demographics
NPI:1639354020
Name:MCCAULEY-MCNAIR, LINDA SUSAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUSAN
Last Name:MCCAULEY-MCNAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 LA MESA CT
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-5137
Mailing Address - Country:US
Mailing Address - Phone:714-292-4333
Mailing Address - Fax:949-645-8849
Practice Address - Street 1:2401 LA MESA CT
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-5137
Practice Address - Country:US
Practice Address - Phone:714-292-4333
Practice Address - Fax:949-645-8849
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR.N.-411060163WH0200X, 163WM1400X, 163WC0400X, 163WI0500X, 163WH1000X, 163WM0705X, 163WE0900X, 163WN1003X, 163WP0000X, 163WP0808X, 163WG0600X, 163WC3500X, 163WD0400X, 163WW0000X
CAR.N.-41160163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WW0000XNursing Service ProvidersRegistered NurseWound Care