Individual provider · Type 1 NPI
Calla Rose Chow
Critical Care Medicine Nurse Practitioner · Orangeburg, SC
NPI number
1083083117
Active
Practice location
1742 Village Park Drive
Orangeburg, SC 29118-1931
Mailing address
1905 Francis St
Orangeburg, SC 29118-1931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 187636 (TN) |
| Gerontology Nurse Practitioner | 363LG0600X | 19752 (SC) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 19752 (SC) |
Critical Care Medicine Nurse Practitioner: Definition to come...
About NPI 1083083117
Calla Rose Chow's National Provider Identifier is 1083083117, issued on Sep 18, 2015. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Orangeburg, SC. The record was last updated on Aug 23, 2021.