Individual
EMILY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP, RN
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5663
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
130425
CT
363LA2100X
Acute Care Nurse Practitioner
11001148
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
14138
CT
Other
Enumeration date
03/08/2016
Last updated
01/07/2025
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