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
State | License ID | Taxonomies |
---|---|---|
CA | R.N.-411060 | 163WH0200X, 163WM1400X, 163WC0400X, 163WI0500X, 163WH1000X, 163WM0705X, 163WE0900X, 163WN1003X, 163WP0000X, 163WP0808X, 163WG0600X, 163WC3500X, 163WD0400X, 163WW0000X |
CA | R.N.-41160 | 163WX0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health |
No | 163WM1400X | Nursing Service Providers | Registered Nurse | Nurse Massage Therapist (NMT) |
No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management |
No | 163WI0500X | Nursing Service Providers | Registered Nurse | Infusion Therapy |
No | 163WH1000X | Nursing Service Providers | Registered Nurse | Hospice |
No | 163WM0705X | Nursing Service Providers | Registered Nurse | Medical-Surgical |
No | 163WE0900X | Nursing Service Providers | Registered Nurse | Enterostomal Therapy |
No | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support |
No | 163WX0800X | Nursing Service Providers | Registered Nurse | Orthopedic |
No | 163WP0000X | Nursing Service Providers | Registered Nurse | Pain Management |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
No | 163WG0600X | Nursing Service Providers | Registered Nurse | Gerontology |
No | 163WC3500X | Nursing Service Providers | Registered Nurse | Cardiac Rehabilitation |
No | 163WD0400X | Nursing Service Providers | Registered Nurse | Diabetes Educator |
No | 163WW0000X | Nursing Service Providers | Registered Nurse | Wound Care |