Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 016837 | NY |
NPI | 1184057267 |
---|---|
Provider Name | Ashley Deline Calahan |
First Address | Bainbridge Island, WA 98110-5118 |
Second Address | Bainbridge Island, WA 98110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2013 |
Last Update Date | 13/06/2018 |