Provider Demographics
NPI:1760513659
Name:CALDERON, CYNTHIA J (RNCS ANP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:CALDERON
Suffix:
Gender:F
Credentials:RNCS ANP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1236 S PRECINCT ST
Mailing Address - Street 2:
Mailing Address - City:EAST TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02718-1578
Mailing Address - Country:US
Mailing Address - Phone:508-828-1471
Mailing Address - Fax:
Practice Address - Street 1:BRIDGEWATER STATE UNIVERSITY
Practice Address - Street 2:351 GREAT HILL DRIVE
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02325-0001
Practice Address - Country:US
Practice Address - Phone:508-531-1252
Practice Address - Fax:508-531-6193
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA228667363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health