Provider Demographics
NPI:1568623171
Name:CALDWELL, ELIZABETH CARRIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CARRIE
Last Name:CALDWELL
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 1:9029 E MISSISSIPPI AVE
Mailing Address - Street 2:APT C-201
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6803
Mailing Address - Country:US
Mailing Address - Phone:719-964-5132
Mailing Address - Fax:
Practice Address - Street 1:6507 S SANTA FE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2910
Practice Address - Country:US
Practice Address - Phone:303-730-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO184871163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse