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NPI Code Detail

MEDICARE: ISABELLA CALDWELL

MEDICARE:   ISABELLA  CALDWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-195396AL

General Provider Information

NPI Number : 1336904374
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA CALDWELL
Provider Business Mailing Address
First Line : 1500 1ST AVE N UNIT 3
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35203-1866
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40900 US HIGHWAY 280
Second Line :
City : SYLACAUGA
State : AL
Zip : 35150-6838
Country : US
Telephone Number : 256-369-0022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 06/02/2026

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Directions to “ ISABELLA CALDWELL ” Practice Location

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