Individual
DEBRA K CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
248 TAR HEEL DR, DELAWARE, OH 43015-4091
(740) 363-0441
Mailing address
248 TAR HEEL DR, DELAWARE, OH 43015-4091
(740) 363-0441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN134783-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258060
—
OH
Enumeration date
03/10/2006
Last updated
10/31/2013
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