Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN001348 | NV |
N | 363LW0102X | Nurse Practitioner - Women's Health | NP 01011 | OH |
N | 363LW0102X | Nurse Practitioner - Women's Health | RN 143166 | OH |
NPI | 1003898032 |
---|---|
Provider Name | Barbara Catherine Caldwell |
First Address | Henderson, NV 89014-6692 |
Second Address | Las Vegas, NV 89169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 18/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2324523 | (05) | OH |
MC1825299 | DEA (01) | |
NP-01011 | NP COA (01) | OH |