Individual
ADRIANNE J. CAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1340
(864) 512-1749
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-3719
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
091769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130770A
—
GA
05
—
AN2248
—
SC
01
—
NPI #
TRICARE
SC
Enumeration date
01/09/2013
Last updated
05/27/2014
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