Individual
MRS. COLLEEN RENEE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST, SUITE 3G-16, MELBOURNE, FL 32901-3224
(321) 434-7243
(321) 434-5335
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 303-2528
(407) 303-2760
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN2966222
FL
363LN0000X
Neonatal Nurse Practitioner
ARNP2966222
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP2966222
FL
Other
Enumeration date
09/12/2016
Last updated
01/05/2024
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