Individual
ELIZABETH NICOLE MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
3738 DAVIS STUART RD, LEWISBURG, WV 24901-9740
(540) 862-7064
(540) 862-5727
Mailing address
PO BOX 457, WHITE SULPHUR SPRINGS, WV 24986-0457
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68873
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002608991
BLUE CROSS BLUE SHEILD
WV
Enumeration date
08/17/2010
Last updated
02/13/2019
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