Provider Demographics
NPI:1851633648
Name:CALDWELL BICE, MARTHA HAYDEN (RN, BSN, MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:HAYDEN
Last Name:CALDWELL BICE
Suffix:
Gender:F
Credentials:RN, BSN, MSN, CRNP
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:HAYDEN
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CRNP
Mailing Address - Street 1:2005 WOODSORREL DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1126
Mailing Address - Country:US
Mailing Address - Phone:256-302-1995
Mailing Address - Fax:
Practice Address - Street 1:615 18TH ST S FL 9
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1826
Practice Address - Country:US
Practice Address - Phone:205-935-3490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-104916363A00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant