Provider Demographics
NPI:1740864255
Name:AGEE, CALLIE ROSEMARIE (RN)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:ROSEMARIE
Last Name:AGEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3508 LOVELAND RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-2957
Mailing Address - Country:US
Mailing Address - Phone:234-201-2997
Mailing Address - Fax:
Practice Address - Street 1:3508 LOVELAND RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2957
Practice Address - Country:US
Practice Address - Phone:234-201-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH371190163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health