Mrs. Katie Callaway
Nurse Practitioner - Pediatrics
3901 Beaubien St
Detroit
, Michigan 48201-2119
Mrs. Katie Callaway
Nurse Practitioner - Pediatrics
3901 Beaubien St
Detroit
, Michigan 48201-2119
(313) 745-5260
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Katie Callaway
- 3901 Beaubien St
- Detroit, MI
- Zip : 48201-2119
- Phone : (313) 745-5260
Second Address
- Mrs. Katie Callaway
- 3901 Beaubien St
- Detroit, MI
- Zip : 48201-2119
- Phone : (313) 745-5260
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704297094 | MI |
National Provider Identifier
| NPI | 1033693916 |
|---|---|
| Provider Name | Mrs. Katie Callaway |
| First Address | Detroit, MI 48201-2119 |
| Second Address | Detroit, MI 48201-2119 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2018 |
| Last Update Date | 18/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.