Elizabeth Ann Calhoun, RNFA

Individual provider Active NPI Perioperative Clinical Nurse Specialist · Lake Wales, FL

NPI 1912972506 · NPPES record last updated Nov 20, 2008

Key facts

NPI
1912972506
Entity type
Individual (NPI type 1)
Primary specialty
Perioperative Clinical Nurse Specialist 364SP2800X
License
RN1856752 (FL)
Practice address
410 S 11TH St
Lake Wales, FL 33853-4203
Phone
(813) 343-5500
Fax
(813) 343-5500
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Surgery Center, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Perioperative Clinical Nurse Specialist 364SP2800X RN1856752 FL Yes

Addresses

Primary practice location

410 S 11TH St
Lake Wales, FL 33853-4203

Mailing address

12880 Commodity PL
Tampa, FL 33626-3101
Phone (813) 343-5500

Other names

  • Elizabeth Ann White Other name

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · Perioperative Clinical Nurse Specialist in Florida

Sources for this page

Verify at the official NPI Registry.