Healthcare Provider Details

I. General information

NPI: 1124735261
Provider Name (Legal Business Name): DAYSIANAE MONAE CALHOUN EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5039 VILLA LINDE PKWY STE 30
FLINT MI
48532-3450
US

IV. Provider business mailing address

5039 VILLA LINDE PKWY STE 30
FLINT MI
48532-3450
US

V. Phone/Fax

Practice location:
  • Phone: 989-401-2244
  • Fax:
Mailing address:
  • Phone: 989-401-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704434419
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: