Provider Demographics
NPI:1659490258
Name:CALABRESE, NANCY AGNES (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:AGNES
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 ARGYLL DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2104
Mailing Address - Country:US
Mailing Address - Phone:410-544-4687
Mailing Address - Fax:
Practice Address - Street 1:60 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1687
Practice Address - Country:US
Practice Address - Phone:410-626-2553
Practice Address - Fax:410-626-2889
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR063769363LS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool