Individual
MRS. COLLEEN ELIZABETH RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
3901 BEAUBIEN, CHILDRE4N'S HOSPITAL OF MI, DETROIT, MI 48201-2119
(313) 745-5515
(313) 745-5237
Mailing address
4201 ST. ANTOINE UHC 5D MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2119
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4704186687
MI
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4704186687
MI
Other
Enumeration date
12/10/2015
Last updated
01/06/2016
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