Healthcare Provider Details

I. General information

NPI: 1538194303
Provider Name (Legal Business Name): MELISSA RAE CAUGHEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TER HEUN DR
FALMOUTH MA
02540-2599
US

IV. Provider business mailing address

100 TER HEUN DR
FALMOUTH MA
02540-2599
US

V. Phone/Fax

Practice location:
  • Phone: 508-548-5300
  • Fax:
Mailing address:
  • Phone: 508-548-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberNP10003
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberNP10003
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN275743-NP
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: