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Individual
HEDWINE CALDWELL
Active
Individual
HEDWINE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1023058
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2062S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230009
ANTHEM BCBS
—
01
—
11478506
CAQH
—
01
—
1175036
CHA
—
01
—
279410
MANAGED HEALTH
—
05
—
30610026
—
KY
Enumeration date
08/10/2006
Last updated
03/19/2008
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