Individual provider · Type 1 NPI

Andrew Caudle

Gerontology Nurse Practitioner · Daytona Beach, FL

NPI number 1972195048 Active

Practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Fax (386) 231-1598

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Other practice locations

  • 113 E Saint Peter St, Carencro, LA 70520-4008 · (225) 239-2301

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist 246ZE0600XNone listed
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11040092 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1972195048

Andrew Caudle's National Provider Identifier is 1972195048, issued on Feb 9, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 6, 2025.