MEDICARE: WILLIAM J CAULEY R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	R20459	AR

General Provider Information

NPI Number	:	1184695116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM J CAULEY R.N.

Provider Business Mailing Address
First Line	:	7 ALINA LN
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-3425
Country	:	US
Telephone Number	:	501-915-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 ALINA LN
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-3425
Country	:	US
Telephone Number	:	501-915-8244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	07/08/2007

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