Provider Demographics
NPI:1720585177
Name:CALTON, NANCY ANN (FNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:CALTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:200 S LEXINGTON DR APT 928
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7030
Mailing Address - Country:US
Mailing Address - Phone:916-296-0070
Mailing Address - Fax:
Practice Address - Street 1:2218 KAUSEN DR STE 103
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7178
Practice Address - Country:US
Practice Address - Phone:916-683-8774
Practice Address - Fax:916-683-8777
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95008593363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner