Provider Demographics
NPI:1861113144
Name:CALKINS, CHARLIE NISHELLE (RN BSN)
Entity type:Individual
Prefix:
First Name:CHARLIE
Middle Name:NISHELLE
Last Name:CALKINS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:CHARLIE
Other - Middle Name:NISHELLE
Other - Last Name:DAWSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11747 36TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5634
Mailing Address - Country:US
Mailing Address - Phone:425-381-6033
Mailing Address - Fax:
Practice Address - Street 1:11747 36TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5634
Practice Address - Country:US
Practice Address - Phone:425-381-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60841311163WG0100X, 163WX0200X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
No163WX0200XNursing Service ProvidersRegistered NurseOncology