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Individual

MS. PATRICIA CALLADINE MCCALLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN4112
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7004722
NC
05
NP1637
SC
01
P01325832
RAILRAOD MEDICARE
SC
Enumeration date
02/17/2010
Last updated
08/07/2014
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