Provider Demographics
NPI:1518275361
Name:CALLAGHAN, CHRISTINE (CNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CALLAGHAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:SUITE 720
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-291-2077
Mailing Address - Fax:419-291-2122
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:SUITE 720
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-291-2077
Practice Address - Fax:419-291-2122
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN256634163W00000X
OHNP11804363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse