Individual
MARK JAMES COLALUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
835 MCKAY CT STE 100, BOARDMAN, OH 44512-5786
(330) 758-4399
(330) 758-8995
Mailing address
835 MCKAY CT STE 100, BOARDMAN, OH 44512-5786
(330) 758-4399
(330) 758-8995
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.025827
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.025827
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.025827
OH
Other
Enumeration date
01/03/2020
Last updated
10/10/2024
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