Individual provider · Type 1 NPI
Callistus C. Olisaeke
Home Health Registered Nurse · Arlington, TX
NPI number
1083255772
Active
Practice location
1845 Carriage House Cir Apt 3005
Arlington, TX 76011-4444
Mailing address
1845 Carriage House Cir # 33005
Arlington, TX 76011-4577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 690631 (TX) |
Home Health Registered Nurse: Definition to come...
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About NPI 1083255772
Callistus C. Olisaeke's National Provider Identifier is 1083255772, issued on Oct 3, 2019. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Arlington, TX. The record was last updated on Oct 3, 2019.