Individual
COLLEEN CILISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1002 GEMINI ST STE 128, HOUSTON, TX 77058
(281) 218-9515
(281) 218-9534
Mailing address
1002 GEMINI ST STE 128, HOUSTON, TX 77058-2746
(281) 218-9515
(281) 218-9534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
855146
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP137764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
855146
LICENSE
TX
Enumeration date
05/15/2018
Last updated
07/23/2018
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