Individual
COLLEEN MARIE OMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3310 SISKEY PKWY, MATTHEWS, NC 28105-3222
(704) 849-2271
Mailing address
3310 SISKEY PKWY, MATTHEWS, NC 28105-3222
(704) 849-2271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1744576
TX
363LF0000X
Family Nurse Practitioner
Primary
5014175
NC
363LF0000X
Family Nurse Practitioner
CP001288
SD
Other
Enumeration date
10/03/2017
Last updated
03/15/2021
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