Doctor Name: | DORIS JEAN CALDWELL |
NPI Number: | 1598008757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 866000508 |
Business Practice Address: | 350 S 118th Ave Avondale, AZ - 853231177 |
Business Phone Number: | 6234785910 |
Business Fax Number: | |
Mailing Address: | 12221 W Locust Ln, AVONDALE |
State: | AZ |
Postal Code: | 853237684 |
Phone Number: | 6023639870 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2013 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 866000508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |