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NPI Code Detail

MEDICARE: ALVIN PAUL CALDERON

MEDICARE: ALVIN PAUL CALDERON
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
1163W00000XRegistered Nurse0001322213VA

General Provider Information

NPI Number : 1174487755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALVIN PAUL CALDERON
Provider Business Mailing Address
First Line : 2501 LYNNFIELD CT
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23323-7012
Country : US
Telephone Number : 757-812-4541
Fax Number :
Provider Business Practice Location Address
First Line : 1060 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3002
Country : US
Telephone Number : 757-395-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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