Individual
COLLEEN MARY MCWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 N STOCKTON HILL RD, KINGMAN, AZ 86401-5173
(928) 753-1177
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AZ10792
AZ
Other
Enumeration date
12/04/2017
Last updated
06/23/2020
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