Provider Demographics
NPI:1235305228
Name:CALDWELL, NOMA T (RN, CRNA)
Entity Type:Individual
Prefix:MS
First Name:NOMA
Middle Name:T
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:RN, CRNA
Other - Prefix:MRS
Other - First Name:NOMA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CRNA
Mailing Address - Street 1:20 SPRING GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3018
Mailing Address - Country:US
Mailing Address - Phone:860-745-5667
Mailing Address - Fax:
Practice Address - Street 1:20 SPRING GARDEN RD
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3018
Practice Address - Country:US
Practice Address - Phone:860-745-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA87921367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered