Provider Demographics
NPI:1679635619
Name:CATALINE-BECKER, MICHELE L (RN)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:L
Last Name:CATALINE-BECKER
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 1:1210 LA GRANADA DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-4850
Mailing Address - Country:US
Mailing Address - Phone:760-736-8915
Mailing Address - Fax:760-591-7668
Practice Address - Street 1:1210 LA GRANADA DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4850
Practice Address - Country:US
Practice Address - Phone:760-736-8915
Practice Address - Fax:760-591-7668
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN522476163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management