Organization
COLLEEN J. SPEIDELL NP PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN J SPEIDELL N.P. (OWNER)
(928) 317-2707
Entity
Organization
Contact information
Practice address
2281 W 24TH ST, STE 5, YUMA, AZ 85364-6197
(928) 317-2707
(928) 317-3119
Mailing address
PO BOX 672, YUMA, AZ 85366-0672
(928) 317-2707
(928) 317-3119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN084306
AZ
Other
Enumeration date
08/22/2007
Last updated
01/22/2010
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