Provider Demographics
NPI:1386396265
Name:CALDWELL, PAULA MICHELLE (FNP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:MICHELLE
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:MICHELLE
Other - Last Name:FRIEDRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:329 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4331
Mailing Address - Country:US
Mailing Address - Phone:419-221-3072
Mailing Address - Fax:419-481-9895
Practice Address - Street 1:2200 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2688
Practice Address - Country:US
Practice Address - Phone:419-812-2809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-22
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704298426363LF0000X, 363LF0000X
OH0032799363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily