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Individual

AMY CALHOUN-VASKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN,CNM

Contact information

Practice address
905 S MAIN ST, SHATTUCK, OK 73858-9208
(734) 552-1595
Mailing address
PO BOX 16131, BELFAST, ME 04915-4056
(919) 322-0173
(919) 977-9344

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
212295
OK
367A00000X
Advanced Practice Midwife
212295
OK
367A00000X
Advanced Practice Midwife
4704260721
367A00000X
Advanced Practice Midwife
667
NC

Other

Enumeration date
12/05/2014
Last updated
12/02/2024
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