MEDICARE: BARBARA CATHERINE CALDWELL APRN

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	170300000X	Genetic Counselor (M.S.)	APRN001348	NV
2	363L00000X	Nurse Practitioner	APRN001348	NV
3	363LW0102X	Women's Health Nurse Practitioner	RN 143166	OH
4	363LW0102X	Women's Health Nurse Practitioner	NP 01011	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NP-01011	OTHER	OH	NP COA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003898032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA CATHERINE CALDWELL APRN

Provider Business Mailing Address
First Line	:	5808 SAGAMORE CANYON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-5234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5808 SAGAMORE CANYON ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-5234
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:	999-999-9999

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	02/23/2024

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