Provider Demographics
NPI:1871551218
Name:CALVELLI, DONNA A (ARNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:A
Last Name:CALVELLI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 541216
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32954-1216
Mailing Address - Country:US
Mailing Address - Phone:321-452-1061
Mailing Address - Fax:321-453-0866
Practice Address - Street 1:270 N SYKES CREEK PKWY
Practice Address - Street 2:UNIT 108
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953
Practice Address - Country:US
Practice Address - Phone:321-452-1061
Practice Address - Fax:321-453-0866
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1142902164W00000X
FLARNP1142902164W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No164W00000XNursing Service ProvidersLicensed Practical Nurse