Provider Demographics
NPI:1831531151
Name:CALANDRO, ANN M (RNC IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:M
Last Name:CALANDRO
Suffix:
Gender:F
Credentials:RNC IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8318 VIKING DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-8973
Mailing Address - Country:US
Mailing Address - Phone:704-607-0367
Mailing Address - Fax:704-843-0429
Practice Address - Street 1:8318 VIKING DR
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-8973
Practice Address - Country:US
Practice Address - Phone:704-607-0367
Practice Address - Fax:704-843-0429
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51086163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant