Individual provider · NPI-1

Christina Marie Calderon, RN

Registered Nurse, General Practice · Kansas City, MO

NPI number1285517094
StatusActive
Last updated in NPPESJul 29, 2025

Details

NPI
1285517094
Entity type
Individual (NPI-1)
Name
Christina Marie Calderon
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 29, 2025
Certification date
Jul 29, 2025
Last updated
Jul 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice2019023632MOYes
364SL0600X Clinical Nurse Specialist, Long-Term Care2019023632MO
390200000X Student in an Organized Health Care Education/Training Program2019023632MO

Practice location

7900 Lees Summit Rd
Kansas City, MO 64139-1236

Phone 816-404-8324

Mailing address

1408 Sw Merryman Dr
Lees Summit, MO 64082-3906

Phone 913-927-8122

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