MEDICARE: NATALIE CALDWELL MSN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	11014913	FL

General Provider Information

NPI Number	:	1578231064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CALDWELL MSN, FNP-C

Provider Business Mailing Address
First Line	:	5314 GRANDE PALM CIR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-1364
Country	:	US
Telephone Number	:	954-459-5641
Fax Number	:

Provider Business Practice Location Address
First Line	:	5314 GRANDE PALM CIR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-1364
Country	:	US
Telephone Number	:	954-459-5641
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	08/31/2021

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