NPI 1013485630

Mariellen Calloway

Practitioner Home Health Aide Fort Pierce, FL

Practice location

Address: 1407 Florida Ave, Fort Pierce, FL 34950-4990
Phone: (772) 979-0559

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1013485630
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2018
Record last updated: 13 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.