Individual
COLLEEN C STELLABOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRNP
Contact information
Practice address
501 S 54TH ST, ACADEMIC ER SVCS - ER DEPT, PHILADELPHIA, PA 19143-1900
(215) 748-9435
Mailing address
8 OAK PARK DR, STE3000, BEDFORD, MA 01730-1414
(781) 280-1513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN273433L, SP003540C
PA
Other
Enumeration date
07/14/2006
Last updated
04/05/2011
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