Provider Demographics
NPI:1902940554
Name:MCAULEY, NANCY LOUISE (CRNA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LOUISE
Last Name:MCAULEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SALTSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15681-1249
Mailing Address - Country:US
Mailing Address - Phone:724-639-9361
Mailing Address - Fax:
Practice Address - Street 1:425 WALNUT ST
Practice Address - Street 2:
Practice Address - City:SALTSBURG
Practice Address - State:PA
Practice Address - Zip Code:15681-1249
Practice Address - Country:US
Practice Address - Phone:724-639-9361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN123497372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020851Medicare ID - Type Unspecified