Caldwell, Shana Kay

Caldwell, Shana Kay is an individual health care provider with primary practice located at 305 W Rusk St , Tyler TX 75701-1514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Caldwell, Shana Kay can be contacted via phone (903) 592-7304.

Contact Information

Primary practice address
305 W Rusk St Tyler TX 75701-1514
Phone: (903) 592-7304
Fax: (903) 592-1288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 687871 Texas

Profile Details

NPI number 1336200682
LBN Legal business name Caldwell, Shana Kay
Credentials RN, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336200682 NPPES
Texas MEDICAID 186970303
Texas MEDICAID 186970302

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