Individual
COLLEEN DUCKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1105 JEFFERSON AVE, WACO, TX 76701-1212
(254) 752-7889
Mailing address
1105 JEFFERSON AVE, WACO, TX 76701-1212
(254) 752-7889
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1152278
TX
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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