Individual
MRS. MELISSA A CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
320 EXTON CMNS, EXTON, PA 19341-2450
(866) 268-6609
(866) 610-4542
Mailing address
320 EXTON CMNS, EXTON, PA 19341-2450
(866) 268-6609
(866) 610-4542
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
TP006182C
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
TP006181H
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032688YCCW
MEDICARE NUMBER
PA
01
—
102510472 0001
PROMISE NUMBER
PA
Enumeration date
06/06/2006
Last updated
02/26/2024
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