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Individual

MRS. MELISSA A CALLAHAN

Active
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Individual

MRS. MELISSA A CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

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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