Provider Demographics
NPI:1275247082
Name:LARKINS CALDWELL, ELIZABETH A (NBHWC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:LARKINS CALDWELL
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 SURI DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-4376
Mailing Address - Country:US
Mailing Address - Phone:609-731-0030
Mailing Address - Fax:
Practice Address - Street 1:521 SURI DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-4376
Practice Address - Country:US
Practice Address - Phone:609-731-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach