Healthcare Provider Details

I. General information

NPI: 1689510315
Provider Name (Legal Business Name): ARIANNE P CALABON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 I ST
LA PORTE IN
46350-5533
US

IV. Provider business mailing address

3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US

V. Phone/Fax

Practice location:
  • Phone: 219-324-1700
  • Fax:
Mailing address:
  • Phone: 574-647-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018114A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: