Individual
MRS. SUSAN A CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
140 W 6TH ST, OSWEGO, NY 13126-2525
(315) 349-5513
Mailing address
140 W 6TH ST, OSWEGO, NY 13126-2525
(315) 349-5513
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
21110065
NY
163WD0400X
Diabetes Educator Registered Nurse
359397-1
NY
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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