Provider Demographics
NPI:1295473957
Name:EDDINGTON, CALANDRA JEAN (HEALTH COACH/EDUCATO)
Entity type:Individual
Prefix:MRS
First Name:CALANDRA
Middle Name:JEAN
Last Name:EDDINGTON
Suffix:
Gender:F
Credentials:HEALTH COACH/EDUCATO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 DEUCE DR APT 106
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5967
Mailing Address - Country:US
Mailing Address - Phone:214-394-3286
Mailing Address - Fax:
Practice Address - Street 1:1224 DEUCE DR APT 106
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5967
Practice Address - Country:US
Practice Address - Phone:214-394-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710912163W00000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No163W00000XNursing Service ProvidersRegistered Nurse