Provider Demographics
NPI:1851526164
Name:CAULFIELD, NANCY YOUNG (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:YOUNG
Last Name:CAULFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5185 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6542
Mailing Address - Country:US
Mailing Address - Phone:770-880-9695
Mailing Address - Fax:770-840-1901
Practice Address - Street 1:5185 PEACHTREE PKWY
Practice Address - Street 2:SUITE 350
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-6542
Practice Address - Country:US
Practice Address - Phone:770-880-9695
Practice Address - Fax:770-840-1901
Is Sole Proprietor?:No
Enumeration Date:2009-05-17
Last Update Date:2009-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN161904163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator