Individual
COLLEEN KATHLEEN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGNP,GNP
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4242
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
257249
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP115002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185280801
—
TX
Enumeration date
03/02/2007
Last updated
08/10/2021
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