Healthcare Provider Details

I. General information

NPI: 1114853322
Provider Name (Legal Business Name): SYDNEY CALERO CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 RED BLF
CHEYENNE WY
82009-4400
US

IV. Provider business mailing address

5630 RED BLF
CHEYENNE WY
82009-4400
US

V. Phone/Fax

Practice location:
  • Phone: 307-426-0311
  • Fax: 307-216-8891
Mailing address:
  • Phone: 307-426-0311
  • Fax: 307-216-8891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number057
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: