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Individual

MR. FRANK JOSEPH COLELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
794 S MAIN ST STE B, KERNERSVILLE, NC 27284-4074
(336) 904-2317
(336) 443-6030
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015447
NC
363LF0000X
Family Nurse Practitioner
TAP2564
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP2564
AP LIC
AZ
Enumeration date
12/06/2006
Last updated
04/07/2022
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