Individual provider · Type 1 NPI

Callandra K. Mike

Critical Care Medicine Registered Nurse · Tuba City, AZ

NPI number 1356642003 Active

Practice location

167 North Main St
Tuba City, AZ 86045-0600

Mailing address

PO Box 600
Tuba City, AZ 86045-0600

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200XRN120627 (AZ)

Critical Care Medicine Registered Nurse: Definition to come...

65 other providers at this address

Other critical care medicine registered nurse providers in Tuba City

See all in Tuba City →

About NPI 1356642003

Callandra K. Mike's National Provider Identifier is 1356642003, issued on Nov 11, 2010. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Tuba City, AZ. The record was last updated on Nov 11, 2010.