Healthcare Provider Details

I. General information

NPI: 1518275361
Provider Name (Legal Business Name): CHRISTINE CALLAGHAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 HUGHES DR SUITE 720
TOLEDO OH
43606-3856
US

IV. Provider business mailing address

2109 HUGHES DR SUITE 720
TOLEDO OH
43606-3856
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-2077
  • Fax: 419-291-2122
Mailing address:
  • Phone: 419-291-2077
  • Fax: 419-291-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP11804
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN256634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: