Individual
COLLEEN F PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
(989) 358-7835
Mailing address
7315 WOLF CREEK RD, HERRON, MI 49744-9752
(989) 464-0634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704196126
MI
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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