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Individual

MRS. COLLEEN S. CARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN MSN CPNP

Contact information

Practice address
621 E SINTON ST, SINTON, TX 78387-2801
(361) 364-4486
(361) 364-7385
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 664-0145
(361) 664-2248

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
593952
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147334001
TPI
01
86N541
HFCA
TX
Enumeration date
03/25/2009
Last updated
03/19/2024
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