Calvin, Gina R

Calvin, Gina R is an individual health care provider with primary practice located at 1111 W Pearce Blvd , Wentzville MO 63385-1020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Calvin, Gina R can be contacted via phone (636) 856-5362.

Contact Information

Primary practice address
1111 W Pearce Blvd Wentzville MO 63385-1020
Phone: (636) 856-5362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20113044837 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013044837 Missouri

Profile Details

NPI number 1366853541
LBN Legal business name Calvin, Gina R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2014
Last updated Oct 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366853541 NPPES
Missouri MEDICAID 1366853541

Popular Providers