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Individual

MRS. SHEREE L. CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
111 NE 1ST ST, PRYOR, OK 74361-2403
(918) 825-4224
(918) 825-3817
Mailing address
1128 N 438, PRYOR, OK 74361-2916
(918) 606-5303

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0052253
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200115960A
OK
Enumeration date
11/21/2006
Last updated
11/01/2016
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