Provider Demographics
NPI:1083800569
Name:MCAULY, DOROTHY DENISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:DENISE
Last Name:MCAULY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6751 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9165
Mailing Address - Country:US
Mailing Address - Phone:910-486-0241
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL ONE STOP RM 23
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-432-6958
Practice Address - Fax:910-396-6224
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC019403164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse