| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CALEE MICHELLE BRESNAHAN | 1841870151 | 2021-04-11 |
Calee Michelle Bresnahan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841870151. Registration indicates Calee Michelle Bresnahan is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Calee Michelle Bresnahan |
| Other Provider Name | Calee Michelle Boedigheimer |
| Practice Office Address | 815 MAIN ST STE C PEORIA, IL US |
| Practice Office Telephone | 3096724977 |
| Mailing Address | 1407 27TH ST ROCKFORD, IL 611083632 US |
| Business Telephone | 8156218749 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |