Provider Demographics
NPI:1003068198
Name:CALDWELL, SANDRA (CD(DONA), BA)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:CD(DONA), BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 FOSS DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3027
Mailing Address - Country:US
Mailing Address - Phone:650-261-9008
Mailing Address - Fax:
Practice Address - Street 1:71 FOSS DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-3027
Practice Address - Country:US
Practice Address - Phone:650-261-9008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2278P3900X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No2278P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedNeonatal/Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA374J00000XOtherNURSING SERVICES RELATED PROVIDER