Alivia Rae Caldwell, FNP
Nurse Practitioner, Family in Buffalo, NY. Individual provider (NPI-1).
NPI number1669135000
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1669135000
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alivia Rae Caldwell
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2021
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F347836-01 | NY | Yes |
| 163WG0000X | Registered Nurse, General Practice | 703336-1 | NY |
Practice location
565 Abbott RdBuffalo, NY 14220
Phone 716-826-7000
Mailing address
450 Dick Rd.Apt A3
Depew, NY 14043
Phone 716-253-4723
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