Individual
COLLEEN ANN KUPESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2466 ACADEMY RD, POWHATAN, VA 23139-5820
(804) 399-9037
Mailing address
2466 ACADEMY RD, POWHATAN, VA 23139-5820
(804) 399-9037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001165805
VA
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
0015001099
VA
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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