Caitlyn Nicole Callen, RN
Individual provider Active NPI Registered Nurse · Lucas, OH
NPI 1689224586 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1689224586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 459678 (OH)
- Practice address
- 149 Leiter Rd
Lucas, OH 44843-9538 - Phone
- (419) 543-0277
- NPI assigned
- Sep 13, 2019
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 459678 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 459678 | OH | Yes |
Addresses
Primary practice location
149 Leiter Rd
Lucas, OH 44843-9538
Mailing address
149 Leiter Rd
Lucas, OH 44843-9538
Phone (419) 543-0277
Other providers in Lucas, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. 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.