Individual
MS. MARILYN T CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
406 ELIZABETH ST, UTICA, NY 13501-2306
(315) 798-5747
(315) 798-1057
Mailing address
406 ELIZABETH ST, UTICA, NY 13501-2306
(315) 798-5747
(315) 798-1057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
263181-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F301315-1
NY
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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