Individual
NYLA EVETTE COLFORD
Active
Individual
NYLA EVETTE COLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6508541
NY
163WC0200X
Critical Care Medicine Registered Nurse
26NR14883500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
650854
NY
Other
Enumeration date
09/16/2015
Last updated
10/12/2016
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