Provider Demographics
NPI:1891581724
Name:BURDEN, CALANDRIA
Entity type:Individual
Prefix:
First Name:CALANDRIA
Middle Name:
Last Name:BURDEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 WILLOW DALE RD
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-9449
Mailing Address - Country:US
Mailing Address - Phone:937-926-4058
Mailing Address - Fax:
Practice Address - Street 1:5444 WILLOW DALE RD
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-9449
Practice Address - Country:US
Practice Address - Phone:937-926-4058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide