Provider Demographics
NPI:1316399256
Name:CAULEY, TALYIA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TALYIA
Middle Name:
Last Name:CAULEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 SAINT LUKES DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7108
Mailing Address - Country:US
Mailing Address - Phone:334-270-8864
Mailing Address - Fax:334-270-1176
Practice Address - Street 1:356 SAINT LUKES DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7108
Practice Address - Country:US
Practice Address - Phone:334-270-8864
Practice Address - Fax:334-270-1176
Is Sole Proprietor?:No
Enumeration Date:2016-07-03
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-137079363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner