Heather Lynn Calder
Individual provider Active NPI Licensed Practical Nurse · Medina, NY
NPI 1386397990 · NPPES record last updated Feb 2, 2022
Key facts
- NPI
- 1386397990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 325169 (NY)
- Practice address
- 10963 Ryan Rd
Medina, NY 14103-9529 - Phone
- (585) 745-0554
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 325169 | NY | Yes |
Addresses
Primary practice location
10963 Ryan Rd
Medina, NY 14103-9529
Mailing address
10963 Ryan Rd
Medina, NY 14103-9529
Phone (585) 745-0554
Other providers in Medina, NY
- Peggy Jean Bojic
- Jill Bolton
- Laurie Ann Bonfante-Leggett
- Kathleen Alice Brauen
- Kenneth L Brooks
- Tanya Callard
- Shelby Linnea Carlson
- Meghan Carpenter
- Minnie R Clark
- Gary L Condoluci
All providers in Medina, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2022. 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.