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NPI Code Detail

MEDICARE: ANA LETICIA CALVIO NP-C

MEDICARE: ANA LETICIA CALVIO NP-C
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
1363LG0600XGerontology Nurse Practitioner5014282NC
2363L00000XNurse Practitioner5014282NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15014282OTHERNCNCBON

General Provider Information

NPI Number : 1710566013
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LETICIA CALVIO NP-C
Provider Business Mailing Address
First Line : PO BOX 7200
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-0200
Country : US
Telephone Number : 252-937-0231
Fax Number : 252-937-3113
Provider Business Practice Location Address
First Line : 901 N WINSTEAD AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-8467
Country : US
Telephone Number : 252-937-0231
Fax Number : 252-937-3113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 02/26/2026

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