Individual
PATRICIA ISABEL CALCETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2408
(618) 899-3869
Mailing address
31 WEBSTER HILL EST, MOUNT VERNON, IL 62864-2346
(386) 986-0055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209016170
IL
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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