Individual provider · Type 1 NPI
Bianca L. Calloway
Psychiatric/Mental Health Nurse Practitioner · Fairview Heights, IL
NPI number
1790680122
Active
Practice location
329 Pleasant Ridge Rd
Fairview Heights, IL 62208-1208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209035164 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2026016338 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Fairview Heights
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- Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Fairview Heights, IL NPI 1124805189
About NPI 1790680122
Bianca L. Calloway's National Provider Identifier is 1790680122, issued on Oct 14, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairview Heights, IL. The record was last updated on Oct 14, 2026.