Renae Callahan

NPI #1164016408 in Morton, Illinois

Provider Information

NPI Number: 1164016408
Entity Type: Individual
Name: Renae Callahan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 26, 2021
Last Updated: Feb 26, 2021

Practice Location

Address: 104 E QUEENWOOD RD STE 202
City: Morton
State: Illinois
ZIP Code: 61550-2962
Phone: (309) 621-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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