Provider Demographics
NPI:1245286335
Name:CALHOUN, NANCY HELEN (ANP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:HELEN
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3793 PHEASANT RUN
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-8460
Mailing Address - Country:US
Mailing Address - Phone:330-262-3677
Mailing Address - Fax:
Practice Address - Street 1:370 CLINE AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1057
Practice Address - Country:US
Practice Address - Phone:419-775-0042
Practice Address - Fax:419-775-0043
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN103185363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2138396Medicaid
OH2138396Medicaid
OHS89444Medicare UPIN