Individual
KATHRYN COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12502 WILLOWBROOK RD STE 660, CUMBERLAND, MD 21502-6579
(240) 964-8760
(240) 964-8769
Mailing address
12502 WILLOWBROOK RD STE 660, CUMBERLAND, MD 21502-6579
(240) 964-8760
(240) 964-8769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R220774
MD
363LF0000X
Family Nurse Practitioner
Primary
R220774
MD
Other
Enumeration date
07/20/2017
Last updated
01/25/2024
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