Provider Demographics
NPI:1629743653
Name:CALHOUN, ANNABELLE M
Entity type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:M
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 703097
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-3097
Mailing Address - Country:US
Mailing Address - Phone:918-949-0702
Mailing Address - Fax:
Practice Address - Street 1:7409 S 84TH EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2989
Practice Address - Country:US
Practice Address - Phone:918-269-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health