Provider Demographics
NPI:1144968314
Name:MCAULIFFE, CHERYL MARIE (RN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARIE
Last Name:MCAULIFFE
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:PO BOX 738
Mailing Address - Street 2:
Mailing Address - City:MERRILL
Mailing Address - State:OR
Mailing Address - Zip Code:97633-0738
Mailing Address - Country:US
Mailing Address - Phone:541-281-1114
Mailing Address - Fax:
Practice Address - Street 1:2225 NORTH EL DORADO BLVD.
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601
Practice Address - Country:US
Practice Address - Phone:541-864-9438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR096000333RN163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management