Provider Demographics
NPI:1568097764
Name:MACDUFFIE, CALLUM LINDSEY (RN)
Entity Type:Individual
Prefix:MS
First Name:CALLUM
Middle Name:LINDSEY
Last Name:MACDUFFIE
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 1:48 GREEN MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1054
Mailing Address - Country:US
Mailing Address - Phone:774-991-4384
Mailing Address - Fax:
Practice Address - Street 1:48 GREEN MEADOW CT
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-1054
Practice Address - Country:US
Practice Address - Phone:774-991-4384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2317524163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn