Provider Demographics
NPI:1770248353
Name:CALDERON, HOPE MAIRE (LPN)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:MAIRE
Last Name:CALDERON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:MARIE
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1378 ORCHID CIR
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-3020
Mailing Address - Country:US
Mailing Address - Phone:724-570-6838
Mailing Address - Fax:
Practice Address - Street 1:1378 ORCHID CIR
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-3020
Practice Address - Country:US
Practice Address - Phone:724-570-6838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341950164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse