Individual
MRS. PENELOPE RUTH CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
19617.0716
WY
367A00000X
Advanced Practice Midwife
Primary
201350088NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672435
—
OR
Enumeration date
06/18/2007
Last updated
01/02/2015
Update your record
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