Provider Demographics
NPI:1215030564
Name:CALLAHAN, MARGUERITE ESTHER (APN)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:ESTHER
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 RANDOLPH PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3912
Mailing Address - Country:US
Mailing Address - Phone:615-292-7070
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVENUE SOUTH
Practice Address - Street 2:TENNESSEE VALLEY HEALTHCARE SYSTEM
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-340-2340
Practice Address - Fax:615-340-2341
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7163363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health