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Individual

COLLEEN A SHAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1135 PROFESSIONAL DR, GOSHEN, IN 46526-3800
(574) 364-4600
(574) 364-4610
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002247A
IN

Other

Enumeration date
08/09/2007
Last updated
08/08/2023
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