Provider Demographics
NPI:1497766851
Name:TAYLOR-CALDWELL, MICHELE LUCILLE (DNP, ARNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LUCILLE
Last Name:TAYLOR-CALDWELL
Suffix:
Gender:F
Credentials:DNP, ARNP-BC
Other - Prefix:MISS
Other - First Name:MICHELE
Other - Middle Name:LUCILLE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1601 SW ARCHER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1135
Mailing Address - Country:US
Mailing Address - Phone:352-548-6392
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-548-6392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1021952363LA2200X
TX726786363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304494700Medicaid
FLP59874Medicare UPIN
FLE7372XMedicare PIN