Provider Demographics
NPI:1790189207
Name:MCCALMAN, CHIOMA (ARNP)
Entity Type:Individual
Prefix:
First Name:CHIOMA
Middle Name:
Last Name:MCCALMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5284 WELLINGTON PARK CIR APT A14
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-4628
Mailing Address - Country:US
Mailing Address - Phone:863-594-4272
Mailing Address - Fax:
Practice Address - Street 1:10925 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2277
Practice Address - Country:US
Practice Address - Phone:727-372-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010825363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner