Provider Demographics
NPI:1578231064
Name:CALDWELL, NATALIE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5314 GRANDE PALM CIR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1364
Mailing Address - Country:US
Mailing Address - Phone:954-459-5641
Mailing Address - Fax:
Practice Address - Street 1:5314 GRANDE PALM CIR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-1364
Practice Address - Country:US
Practice Address - Phone:954-459-5641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily