Individual
SCOTT S. CALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024188439
VA
367500000X
Certified Registered Nurse Anesthetist
4006657
KY
367500000X
Certified Registered Nurse Anesthetist
484280
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3253332
FL
367500000X
Certified Registered Nurse Anesthetist
RN10000289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300079475
—
IN
05
—
7100912530
—
KY
Enumeration date
05/11/2006
Last updated
12/03/2025
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