Individual
ALTAMEASE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1239 4TH STREET SOUTH, ST.PETERSBURG, FL 33705
(727) 202-8933
Mailing address
PO BOX 35465, ST.PETERSBURG, FL 33705-0508
(813) 380-9843
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9261582
FL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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