Provider Demographics
NPI:1689904104
Name:MCCAULEY, CAROLINE S
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:S
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6422
Mailing Address - Country:US
Mailing Address - Phone:303-362-3525
Mailing Address - Fax:
Practice Address - Street 1:1728 GROVE ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-6422
Practice Address - Country:US
Practice Address - Phone:303-362-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula