Elma F Callis
Individual provider Active NPI Nurse Practitioner · Rutherfordton, NC
NPI 1093048522 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1093048522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5004478 (NC)
- Practice address
- 288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838 - Phone
- (828) 286-5508
- NPI assigned
- Sep 16, 2009
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004478 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutherford Emergency Medicine PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5004478 | NC | Yes |
Addresses
Primary practice location
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Mailing address
PO Box 75358
Charlotte, NC 28275-0358
Phone (843) 237-3378
Other providers in Rutherfordton, NC
- Natalie Elizabeth Bublitz
- Megan Moore Bumgarner
- Tiffany Bush
- Carmen McDaniel Butler
- Paula Winebarger Bynnom
- Kaitlyn Nicole Canipe
- Carenet Inc
- Elliot Frank Carey
- Carolina Assisted Care
- Carolina Spine & Neurosurgery Center PA
All providers in Rutherfordton, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. 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.