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Individual

CHRISTINA COLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1602 W AVENUE A, TEMPLE, TX 76504-4080
(254) 899-2225
(254) 899-2225
Mailing address
1602 W AVENUE A, TEMPLE, TX 76504-4080
(254) 899-2225
(254) 899-2225

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9700811
NC
363LF0000X
Family Nurse Practitioner
Primary
09458-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9700811
STATE LICENSE NUMBER
NC
01
COA.09458-NP
STATE LICENSE NUMBER
OH
Enumeration date
09/05/2006
Last updated
03/07/2023
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