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NPI Code Detail

MEDICARE: MRS. RAQUEL R CALLAHAN BSN, R.N.

MEDICARE:  MRS. RAQUEL R CALLAHAN  BSN, R.N.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1295144129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RAQUEL R CALLAHAN BSN, R.N.
Provider Business Mailing Address
First Line : 3700 WOODLAND DR
Second Line : SUITE 500
City : ANCHORAGE
State : AK
Zip : 99517-2555
Country : US
Telephone Number : 907-644-6050
Fax Number : 907-644-4438
Provider Business Practice Location Address
First Line : 3700 WOODLAND DR
Second Line : SUITE 500
City : ANCHORAGE
State : AK
Zip : 99517-2555
Country : US
Telephone Number : 907-644-6050
Fax Number : 907-644-4438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 08/05/2014

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Directions to “ MRS. RAQUEL R CALLAHAN BSN, R.N.” Practice Location

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