Individual
ANGELA DAWN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15740 NEW HAMPSHIRE CT STE B, FORT MYERS, FL 33908-4174
(239) 466-8838
(239) 466-7669
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004708
NC
363L00000X
Nurse Practitioner
ARNP9448794
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9448794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020061900
—
FL
05
—
7000852
—
NC
Enumeration date
06/17/2010
Last updated
09/03/2021
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