Provider Demographics
NPI:1295238772
Name:CALTAGIRONE, MEGAN ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:CALTAGIRONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 S LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:WHITE CLOUD
Mailing Address - State:MI
Mailing Address - Zip Code:49349-9387
Mailing Address - Country:US
Mailing Address - Phone:757-641-2916
Mailing Address - Fax:
Practice Address - Street 1:3921 S LAUREL DR
Practice Address - Street 2:
Practice Address - City:WHITE CLOUD
Practice Address - State:MI
Practice Address - Zip Code:49349-9387
Practice Address - Country:US
Practice Address - Phone:757-641-2916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704369147363LF0000X
MECNP191174363LF0000X
FLAPRN11015534363LF0000X
RIAPRN01782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily