Provider Demographics
NPI:1225700214
Name:DOIRON, CALLIE (RN)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:DOIRON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5902 E SWEETWATER AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4378
Mailing Address - Country:US
Mailing Address - Phone:602-449-6903
Mailing Address - Fax:
Practice Address - Street 1:5902 E SWEETWATER AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4378
Practice Address - Country:US
Practice Address - Phone:602-449-6903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ224507163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool