Individual
COLLEEN WHELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3082 MCMURRAY DR, ANDERSON, CA 96007-3544
(530) 365-4412
Mailing address
1993 GOREN CT, REDDING, CA 96003-0001
(530) 355-6642
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021849
CA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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