Provider Demographics
NPI:1629867833
Name:CALDWELL, NIKOLE
Entity type:Individual
Prefix:MRS
First Name:NIKOLE
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 WELLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-3574
Mailing Address - Country:US
Mailing Address - Phone:216-534-8582
Mailing Address - Fax:
Practice Address - Street 1:5002 WELLINGTON AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-3574
Practice Address - Country:US
Practice Address - Phone:216-534-8582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker