Individual
DR. COLLEEN MARIE ILLSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
671 HIOAKS RD STE B, RICHMOND, VA 23225-4072
(804) 272-5814
Mailing address
2307 POATES DR, HENRICO, VA 23228-3023
(860) 387-9612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024197815
VA
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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