Penelope Fay Callaway, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Brazil, IN
NPI 1487813085 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1487813085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71002646A (IN)
- Practice address
- 1214 E National Ave Ste 100
Brazil, IN 47834-2700 - Phone
- (812) 442-2100
- NPI assigned
- Jun 9, 2008
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002646A | IN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002646A | IN | Yes |
Addresses
Primary practice location
1214 E National Ave Ste 100
Brazil, IN 47834-2700
Mailing address
1214 E National Ave Ste 100
Brazil, IN 47834-2700
Phone (812) 442-2100
Other providers in Brazil, IN
- Bright Soul Wellness Center Inc
- Stacy Brown
- John Burk Jr.
- Ronald Burnett
- Austin Argyll Burns
- Campbell Dental Associates Brazil LLC
- John Jay Cash
- Casserly & Associates PC
- Hannah Louise Cesinger
- Child-Adult Resource Services, Inc
All providers in Brazil, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. 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.