Individual
CAROLYN NICOLE MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
332 6TH AVE, SOUTH CHARLESTON, WV 25303-1269
(304) 757-9333
Mailing address
8427 WINFIELD RD, WINFIELD, WV 25213-7002
(304) 356-7486
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37790
WV
Other
Enumeration date
04/17/2022
Last updated
04/17/2022
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