Individual
MS. SHIRLEY E MCCOLLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 BOYDEN AVE, MAPLEWOOD, NJ 07040-2480
(973) 378-6075
Mailing address
112 SANDPIPER KY, SECAUCUS, NJ 07094-2210
(973) 378-6075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR06362700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR06362700
NURSING LICENSE
NJ
Enumeration date
07/31/2006
Last updated
11/05/2021
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