Individual
MISS COLLEEN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 898-7541
Mailing address
15497 BLACKBEAD ST, WINTER GARDEN, FL 34787-4816
(440) 864-5416
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0029544
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
11014745
FL
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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