Healthcare Provider Details

I. General information

NPI: 1184695116
Provider Name (Legal Business Name): WILLIAM J CAULEY R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ALINA LN
HOT SPRINGS VILLAGE AR
71909-3425
US

IV. Provider business mailing address

7 ALINA LN
HOT SPRINGS VILLAGE AR
71909-3425
US

V. Phone/Fax

Practice location:
  • Phone: 501-915-8244
  • Fax:
Mailing address:
  • Phone: 501-915-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR20459
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: