Basic Information
| Provider Information | |||||||||
| NPI: | 1497915177 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CALLENDER | ||||||||
| FirstName: | BETH | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1214 W ELM PL | ||||||||
| Address2: | |||||||||
| City: | GRIFFITH | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463192688 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2199228584 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1573 N CLINE AVE | ||||||||
| Address2: | |||||||||
| City: | GRIFFITH | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463191567 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198642297 | ||||||||
| FaxNumber: | 2198642649 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2008 | ||||||||
| LastUpdateDate: | 07/25/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WX0002X | 71002443A | IN | N | Nursing Service Providers | Registered Nurse | Obstetric, High-Risk | 363LF0000X | 71002443A | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LP1700X | 71002443A | IN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Perinatal |
No ID Information.