Healthcare Provider Details

I. General information

NPI: 1982747432
Provider Name (Legal Business Name): HONORA E CALDWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HONORA ELIZABETH CALDWELL MSN

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 E HARVARD AVE SUITE 250
DENVER CO
80231-5968
US

IV. Provider business mailing address

10065 E HARVARD AVE SUITE 250
DENVER CO
80231-5968
US

V. Phone/Fax

Practice location:
  • Phone: 303-614-1131
  • Fax:
Mailing address:
  • Phone: 303-614-1131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number58941
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: