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NPI Code Detail

MEDICARE: AMY LYNN CALBOW MSN, RN, AGCNS-BC

MEDICARE: AMY LYNN CALBOW MSN, RN, AGCNS-BC
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
1163W00000XRegistered Nurse722804CA
2163WC1600XContinuing Education/Staff Development Registered NurseCNS5192CA

General Provider Information

NPI Number : 1649129032
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN CALBOW MSN, RN, AGCNS-BC
Provider Business Mailing Address
First Line : 6928 COLESHILL DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-1921
Country : US
Telephone Number : 619-740-3197
Fax Number : 619-740-4921
Provider Business Practice Location Address
First Line : 5555 GROSSMONT CENTER DR
Second Line :
City : LA MESA
State : CA
Zip : 91942-3019
Country : US
Telephone Number : 619-740-3197
Fax Number : 619-740-4921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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