Stacey Michelle Callison
Nurse Practitioner - Critical Care Medicine
9000 N Main St
Englewood
, Ohio 45415-1180
Stacey Michelle Callison
Nurse Practitioner - Critical Care Medicine
9000 N Main St
Englewood
, Ohio 45415-1180
(937) 344-9594
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Stacey Michelle Callison
- 2325 Springmill Rd
- Kettering, OH
- Zip : 45440-2503
- Phone : (937) 344-9594
Second Address
- Stacey Michelle Callison
- 9000 N Main St
- Englewood, OH
- Zip : 45415-1180
- Phone : (937) 991-3188
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | CNP0026850 | OH |
National Provider Identifier
| NPI | 1134744378 |
|---|---|
| Provider Name | Stacey Michelle Callison |
| First Address | Kettering, OH 45440-2503 |
| Second Address | Englewood, OH 45415-1180 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2020 |
| Last Update Date | 10/05/2021 |
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.