Provider Demographics
NPI:1457597080
Name:MAULDIN, CAROLINE MAKEY (ACNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:MAKEY
Last Name:MAULDIN
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WHITESPORT CIR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6495
Mailing Address - Country:US
Mailing Address - Phone:256-429-5622
Mailing Address - Fax:256-429-4618
Practice Address - Street 1:600 WHITESPORT CIR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6495
Practice Address - Country:US
Practice Address - Phone:256-429-5622
Practice Address - Fax:256-429-4618
Is Sole Proprietor?:No
Enumeration Date:2009-01-03
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000013661363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care