Individual
CAROLYN KAY CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP/ANP
Contact information
Practice address
325TH MEDICAL GROUP, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403-5604
(850) 283-7491
Mailing address
4613 ASHLAND WAY, PANAMA CITY, FL 32404-4277
(808) 778-9156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200150122NP
OR
363LW0102X
Women's Health Nurse Practitioner
200150121NP
OR
Other
Enumeration date
11/19/2005
Last updated
04/11/2018
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