Doctor Name: | MS. TERESA SUE CALHOUN |
NPI Number: | 1427011527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C-FNP |
License Number: | |
Business Practice Address: | 130 Goff Mountain Rd Cross Lanes, WV - 253131419 |
Business Phone Number: | 3047764453 |
Business Fax Number: | 3047764456 |
Mailing Address: | Po Box 1320, SAINT ALBANS |
State: | WV |
Postal Code: | 251771320 |
Phone Number: | 3043881764 |
Fax Number: | 3043881721 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |