Individual
COLLEEN OKONIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, FNP-C
Contact information
Practice address
550 N PROGRESS AVE, HARRISBURG, PA 17109-1014
(866) 389-2727
Mailing address
550 N PROGRESS AVE, HARRISBURG, PA 17109-1014
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP015483
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015483
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103066850
—
PA
Enumeration date
11/19/2015
Last updated
04/10/2017
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