Individual
COLLEEN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6303
Mailing address
1813 IRONWOOD CT W, OLDSMAR, FL 34677-2724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP830212
FL
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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