Individual provider · Type 1 NPI

Mikalia Shannon Callaghan

Nurse Practitioner · Rochester, NY

NPI number 1043073646 Active

Practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

74 Brook Rd
Rochester, NY 14623-1920

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X352913 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043073646

Mikalia Shannon Callaghan's National Provider Identifier is 1043073646, issued on Feb 5, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, NY. The record was last updated on Feb 5, 2024.