| Doctor Name: | MRS. SANDRA O'NEIL-CALLAHAN |
| NPI Number: | 1114279502 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | 2012033869 |
| Business Practice Address: | 4251 Forest Park Avenue St. Louis, MO - 63108 |
| Business Phone Number: | 3145317526 |
| Business Fax Number: | |
| Mailing Address: | 1573 Glenn Brooke Woods Circle, BALLWIN |
| State: | MO |
| Postal Code: | 63021 |
| Phone Number: | 3149542908 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 07/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 2012033869 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |