MEDICARE: DANA JANE CALDWELL CNP

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	363LG0600X	Gerontology Nurse Practitioner	APRN.CNP.0029820	OH
2	363LA2100X	Acute Care Nurse Practitioner	0029820	OH

General Provider Information

NPI Number	:	1134891559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA JANE CALDWELL CNP

Provider Business Mailing Address
First Line	:	4760 E GALBRAITH RD STE 212
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6704
Country	:	US
Telephone Number	:	513-829-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4760 E GALBRAITH RD STE 212
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6704
Country	:	US
Telephone Number	:	513-829-1700
Fax Number	:

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

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	02/11/2026

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