Healthcare Provider Details

I. General information

NPI: 1265294110
Provider Name (Legal Business Name): ALECIA CALDWELL WEST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH FL
33411-1608
US

IV. Provider business mailing address

1490 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH FL
33411-1608
US

V. Phone/Fax

Practice location:
  • Phone: 561-635-3311
  • Fax:
Mailing address:
  • Phone: 561-635-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number11051006
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: