Doctor Name: | MRS. RACHAEL E CALLAWAY |
NPI Number: | 1053663401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, FNP |
License Number: | 71004230A |
Business Practice Address: | 85 East Us Highway 6 Suite 330 Valparaiso, IN - 46383 |
Business Phone Number: | 2194626144 |
Business Fax Number: | 2194651150 |
Mailing Address: | 85 East Us Highway 6, Suite 330 VALPARAISO |
State: | IN |
Postal Code: | 46383 |
Phone Number: | 2194626144 |
Fax Number: | 2194651150 |
NPI Enumeration Date: | 10/10/2012 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71004230A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |