Individual
COLLEEN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROVINCETOWN LANE, APT 5, ORCHARD PARK, NY 14127-1412
(716) 238-6005
Mailing address
30 PROVINCETOWN LN APT 5, ORCHARD PARK, NY 14127-1628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
577846
NY
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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