Provider Demographics
NPI:1992930200
Name:MCAULIFFE, LAURA JEAN (RNFA)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:JEAN
Last Name:MCAULIFFE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 COUNTY ROAD 212
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:77830-8726
Mailing Address - Country:US
Mailing Address - Phone:936-851-0116
Mailing Address - Fax:
Practice Address - Street 1:3404 COUNTY ROAD 212
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:TX
Practice Address - Zip Code:77830-8726
Practice Address - Country:US
Practice Address - Phone:936-851-0116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-16
Last Update Date:2009-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505463163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant