Individual
CYNTHIA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
857 POLK ST, TWIN FALLS, ID 83301-4095
(208) 731-9404
Mailing address
754 19TH AVE E, JEROME, ID 83338-1521
(208) 948-9333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60777
ID
363LF0000X
Family Nurse Practitioner
Primary
8761378
ID
Other
Enumeration date
07/29/2024
Last updated
01/29/2025
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