Provider Demographics
NPI:1417298738
Name:CALDEAN, LINDA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:CALDEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 RAVINE ST
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-3446
Mailing Address - Country:US
Mailing Address - Phone:608-921-9595
Mailing Address - Fax:
Practice Address - Street 1:2022 RAVINE ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-3446
Practice Address - Country:US
Practice Address - Phone:608-921-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI79056-30163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health