Provider Demographics
NPI:1285483008
Name:CALDWELL, JOY G (RN)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:G
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4657 E COTTON GIN LOOP STE 102B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-8830
Mailing Address - Country:US
Mailing Address - Phone:602-603-5165
Mailing Address - Fax:
Practice Address - Street 1:4657 E COTTON GIN LOOP STE 102B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8830
Practice Address - Country:US
Practice Address - Phone:602-603-5165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ261985163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator