Individual
EDWARD CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
11022 N 28TH DR STE 270, PHOENIX, AZ 85029-5639
(623) 404-8505
(602) 429-8475
Mailing address
11022 N 28TH DR STE 270, PHOENIX, AZ 85029-5639
(623) 404-8505
(602) 429-8475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
253121
AZ
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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