Individual
BETTY C CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(586) 778-4952
Mailing address
18263 E 10 MILE RD, SUITE D, ROSEVILLE, MI 48066-5805
(586) 778-4952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704252642
MI
363LP2300X
Primary Care Nurse Practitioner
4704252642
MI
Other
Enumeration date
10/09/2012
Last updated
10/11/2012
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