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NPI Code Detail

MEDICARE: MRS. SHEILA MARIE CALDWELL FNP-BC

MEDICARE: MRS. SHEILA MARIE CALDWELL FNP-BC
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
1374J00000XDoulaMI
2363L00000XNurse Practitioner4704190451MI

General Provider Information

NPI Number : 1891880712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHEILA MARIE CALDWELL FNP-BC
Provider Business Mailing Address
First Line : 30 W MONROE ST STE 1200
Second Line :
City : CHICAGO
State : IL
Zip : 60603-2420
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 18610 FENKELL ST
Second Line :
City : DETROIT
State : MI
Zip : 48223-2378
Country : US
Telephone Number : 313-723-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 12/15/2025

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