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NPI Code Detail

MEDICARE: DAUGETTE CAULKER NP

MEDICARE:   DAUGETTE  CAULKER  NP
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
1363LP2300XPrimary Care Nurse PractitionerSP030265PA

General Provider Information

NPI Number : 1871396184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAUGETTE CAULKER NP
Provider Business Mailing Address
First Line : 3734 MECHANICSVILLE PL
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-2011
Country : US
Telephone Number : 919-884-1583
Fax Number :
Provider Business Practice Location Address
First Line : 3734 MECHANICSVILLE PL
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-2011
Country : US
Telephone Number : 919-884-1583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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