National Provider Identifier
Mikalia Shannon Callaghan
Mikalia Shannon Callaghan is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2100.
Profile Overview
- NPI
- 1043073646
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- February 05, 2024
- Last Updated
- February 05, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2100
Mailing Address
- 74 Brook RD
- Rochester, NY 14623-1920
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1043073646
- Entity Type
- Individual
- Last Name
- Callaghan
- First Name
- Mikalia
- Middle Name
- Shannon
- Mailing Street Address
- 74 Brook RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1920
- Mailing Country
- US
- Mailing Phone
- (585) 748-9444
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2100
- Enumeration Date
- February 05, 2024
- Last Updated
- February 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)