Individual
STEPHANIE COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(866) 389-2727
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R123809
MD
364SF0001X
Family Health Clinical Nurse Specialist
RN51104
DC
Other
Enumeration date
07/30/2007
Last updated
04/17/2015
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