Individual
HEATHER CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1001 PARKWAY AVE STE 11, ELKHART, IN 46516-9347
(574) 206-4399
Mailing address
1001 PARKWAY AVE STE 11, ELKHART, IN 46516-9347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011384A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300053075
—
IN
Enumeration date
06/04/2021
Last updated
01/03/2022
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