MEDICARE: MRS. CALANDRA JEAN EDDINGTON HEALTH COACH/EDUCATO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach
2	163W00000X	Registered Nurse	710912	TX

General Provider Information

NPI Number	:	1295473957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CALANDRA JEAN EDDINGTON HEALTH COACH/EDUCATO

Provider Business Mailing Address
First Line	:	1224 DEUCE DR APT 106
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5967
Country	:	US
Telephone Number	:	214-394-3286
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 S BOWEN RD STE 131
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-4964
Country	:	US
Telephone Number	:	682-220-9936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2022
Last Update Date	:	06/08/2026

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