Individual provider · Type 1 NPI

Breidi A. Calloway, NP

Nurse Practitioner · Los Angeles, CA

NPI number 1710281233 Active

Practice location

1441 Eastlake Ave, Nor 8302E
Los Angeles, CA 90089-0112

Call (323) 865-3105 Map

Fax (323) 865-0061

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center 261QP2300X18343 (CA)
Oncology Clinic/Center 261QX0200X18343 (CA)
Nurse Practitioner Primary 363L00000X18343 (CA)

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 1710281233

Breidi A. Calloway, NP's National Provider Identifier is 1710281233, issued on Dec 23, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 3, 2012.