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Individual
DONNA SUE MCAULEY
Active
Individual
DONNA SUE MCAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP CMW
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C371720
BLUE SHEILD
CA
01
—
201575
REGISTERED NURSE
CA
01
—
366
NURSE MIDWIFE
CA
01
—
5783
NURSE PRACTITIONER
CA
01
—
770051426001
TRICARE
CA
05
—
GR0021672
—
CA
05
—
RHM53941F
—
CA
Enumeration date
11/22/2006
Last updated
09/21/2007
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