Individual
MRS. RACHAEL E CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP
Contact information
Practice address
770 INDIAN BOUNDARY RD STE 200, CHESTERTON, IN 46304-1519
(219) 921-2000
(219) 395-8770
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004230A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011131800
—
IN
Enumeration date
10/10/2012
Last updated
12/23/2022
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