Provider Demographics
NPI:1750386751
Name:MCCABE, MARIA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 E CARONDELET DR
Mailing Address - Street 2:# 235
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3533
Mailing Address - Country:US
Mailing Address - Phone:520-296-5500
Mailing Address - Fax:520-296-5800
Practice Address - Street 1:6565 E CARONDELET DR
Practice Address - Street 2:# 235
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3533
Practice Address - Country:US
Practice Address - Phone:520-296-5500
Practice Address - Fax:520-296-5800
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN069207163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00115412OtherRAILROAD MEDICARE
AZ793978Medicaid
AZP00115412OtherRAILROAD MEDICARE
AZ793978Medicaid