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NPI Code Detail

MEDICARE: JANELLE PFAFF CALLOWAY RN

MEDICARE:   JANELLE PFAFF CALLOWAY  RN
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
1363LP0200XPediatric Nurse Practitioner1088687TX
2163W00000XRegistered Nurse842777TX

General Provider Information

NPI Number : 1801397013
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE PFAFF CALLOWAY RN
Provider Business Mailing Address
First Line : 115 PALISADE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78737-4500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 PALISADE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78737-4500
Country : US
Telephone Number : 408-318-2714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2018
Last Update Date : 08/16/2022

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Directions to “ JANELLE PFAFF CALLOWAY RN” Practice Location

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