Provider Demographics
NPI:1003632589
Name:CALAHAN, MARY HELEN (PGC APRNRNP AGACNPBC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:HELEN
Last Name:CALAHAN
Suffix:
Gender:
Credentials:PGC APRNRNP AGACNPBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7255 E SNYDER RD UNIT 1203
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-6241
Mailing Address - Country:US
Mailing Address - Phone:520-437-8289
Mailing Address - Fax:
Practice Address - Street 1:7255 E SNYDER RD UNIT 1203
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-6241
Practice Address - Country:US
Practice Address - Phone:520-437-8289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN188674163W00000X
AZ322429363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse