Provider Demographics
NPI:1346004033
Name:CALILUNG, EYYA V (RN)
Entity Type:Individual
Prefix:
First Name:EYYA
Middle Name:V
Last Name:CALILUNG
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 1:210 3RD ST W APT 6101
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8843
Mailing Address - Country:US
Mailing Address - Phone:941-744-6063
Mailing Address - Fax:
Practice Address - Street 1:210 3RD ST W APT 6101
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8843
Practice Address - Country:US
Practice Address - Phone:941-744-6063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9615235163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency