Kristi E Caddock in West Bend - Nurse Practitioner
Kristi E Caddock - NPI 1841403888
Kristi E Caddock is a Nurse Practitioner in West Bend, Wisconsin. Kristi E Caddock practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kristi E Caddock is 1841403888. The last update date is 2013-02-14.
Kristi E Caddock's current location address is 3200 Pleasant Valley Rd, West Bend, Wisconsin. You can contact this provider via phone number 2628367200 and fax number 2628367201. The mailing address for Kristi E Caddock is 3200 Pleasant Valley Rd, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi E Caddock |
|---|---|
| Address | 3200 Pleasant Valley Rd, West Bend, Wisconsin |
| Phone Number | 2628367200 |
| Fax Number | 2628367201 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1841403888 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2013-02-14 |
Provider Mailing Address Detail
| Address | 3200 Pleasant Valley Rd |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530959274 |
| Phone Number | 2628367200 |
| Fax Number | 2628367201 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3091 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1841403888 | WI | -- |
Post Comment/ Review Below
What is the Kristi E Caddock's 1841403888?
The Kristi E Caddock's NPI (National Provider Identifier) Number is 1841403888. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kristi E Caddock located?
The Kristi E Caddock is located at 3200 Pleasant Valley Rd, West Bend, WI 530959274.
What is the area of specialization for Kristi E Caddock, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kristi E Caddock is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841403888 to Kristi E Caddock?
The Centers for Medicare & Medicaid Services originally issued the 1841403888 to Kristi E Caddock on 2007-05-07.
When was the Kristi E Caddock's information last updated?
The Kristi E Caddock's information was last updated on 2013-02-14.