Healthcare Provider Details

I. General information

NPI: 1891627741
Provider Name (Legal Business Name): MEREDITH CALDWELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 STATE ROUTE 108 STE A
COLUMBIA MD
21045-1990
US

IV. Provider business mailing address

9030 STATE ROUTE 108 STE A
COLUMBIA MD
21045-1990
US

V. Phone/Fax

Practice location:
  • Phone: 410-340-6090
  • Fax:
Mailing address:
  • Phone: 410-340-6090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR217830
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: