Andrea Calhoun, RN
Individual provider Active NPI Registered Nurse · Odessa, DE
NPI 1013621101 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1013621101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- L1-0037025 (DE)
- Practice address
- 118 S 6TH St
Odessa, DE 19730-2060 - Phone
- (302) 376-4128
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0037025 | DE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appoquinimink School District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0037025 | DE | Yes |
Addresses
Primary practice location
118 S 6TH St
Odessa, DE 19730-2060
Mailing address
12 Hampden CT
Middletown, DE 19709-8300
Phone (717) 304-9186
Other providers in Odessa, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.