Provider Demographics
NPI:1598443830
Name:CALDERON, CATHERIN STEFFANI (FNP)
Entity Type:Individual
Prefix:
First Name:CATHERIN
Middle Name:STEFFANI
Last Name:CALDERON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CATHERIN
Other - Middle Name:STEFFANI
Other - Last Name:SILVA SOSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1110 MARKET ST STE 502&503
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2863
Mailing Address - Country:US
Mailing Address - Phone:423-602-9530
Mailing Address - Fax:
Practice Address - Street 1:1110 MARKET ST STE 502&503
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2863
Practice Address - Country:US
Practice Address - Phone:423-602-9530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily