Provider Demographics
NPI:1598337289
Name:STULTS, CALLE (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:CALLE
Middle Name:
Last Name:STULTS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3568 CARNCROSS DR
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-9648
Mailing Address - Country:US
Mailing Address - Phone:608-692-4933
Mailing Address - Fax:
Practice Address - Street 1:4815 BAUTISTA DR
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8737
Practice Address - Country:US
Practice Address - Phone:608-575-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163365-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health