Healthcare Provider Details

I. General information

NPI: 1669586301
Provider Name (Legal Business Name): RACHEL LYNN CALENDO PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 E CHAPARRAL RD
SCOTTSDALE AZ
85250-2611
US

IV. Provider business mailing address

8840 E CHAPARRAL RD
SCOTTSDALE AZ
85250-2611
US

V. Phone/Fax

Practice location:
  • Phone: 480-270-5920
  • Fax:
Mailing address:
  • Phone: 480-270-5920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN101204
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP3782
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: