Individual
MS. COLLEEN M SHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
70 MAIN ST, PORTER, ME 04068-3527
(207) 756-9412
Mailing address
70 MAIN ST, PORTER, ME 04068-3527
(207) 756-9412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161189
ME
Other
Enumeration date
06/19/2016
Last updated
11/30/2016
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