Individual
LEEANN MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 23RD ST, GLENWOOD SPRINGS, CO 81601-4363
(970) 945-1234
Mailing address
401 23RD ST, GLENWOOD SPRINGS, CO 81601-4363
(970) 945-1234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58945
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27856267
—
CO
Enumeration date
07/16/2007
Last updated
07/16/2007
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