Laurie L. Callan,Nurse Pracitioner ,LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A074701 Issued in IA

Legal business name

LAURIE L. CALLAN,NURSE PRACITIONER ,LLC

Doing business as

Laurie L. Callan,Nurse Pracitioner ,LLC

Practice address

250 S 14TH St
Clinton, IA 52732-5435

Phone

(563) 357-1757

NPI assigned

Jan 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Laurie L Callan, APN,CWOCN

Title

Owner

Phone

(563) 357-1757

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laurie L. Callan,Nurse Pracitioner ,LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1700936275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330361",
            "telephone_number": "563-242-5316",
            "fax_number": "563-242-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 14TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325435",
            "telephone_number": "563-357-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE L. CALLAN,NURSE PRACITIONER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-357-1757",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN,CWOCN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A074701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A074701",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE",
            "identifier": "F0806016",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurie L. Callan,Nurse Pracitioner ,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurie L. Callan,Nurse Pracitioner ,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Clinton, IA
• Providers in Clinton, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.