Provider Demographics
NPI:1932195054
Name:CALDWELL, TERENCE JOHN (FNP-C, MSN, MPH)
Entity type:Individual
Prefix:MR
First Name:TERENCE
Middle Name:JOHN
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:FNP-C, MSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2510 W BIJOU ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2503
Mailing Address - Country:US
Mailing Address - Phone:719-434-1757
Mailing Address - Fax:
Practice Address - Street 1:825 E PIKES PEAK AVE
Practice Address - Street 2:SET FAMILY MEDICAL CLINIC
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3624
Practice Address - Country:US
Practice Address - Phone:719-776-8850
Practice Address - Fax:719-776-8854
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.990458-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.990458-NPOtherADVANCE PRACTICE REGISTRY
CO203539OtherCOLORADO MULTI-STATE RN
AZAP0802OtherAPN/RXN
F1298032OtherAANP FAMILY NURSE PRACTITIONER CERTIFICATION
CORXN.100471-NPOtherPRESCRIPTIVE AUTHORITY
CORXN.100471-NPOtherPRESCRIPTIVE AUTHORITY