Individual
COLEYA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 N 91ST AVE UNIT 140, PEORIA, AZ 85345-8338
(602) 626-4255
Mailing address
10101 N 91ST AVE UNIT 140, PEORIA, AZ 85345-8338
(602) 626-4255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN206130
AZ
163WM0705X
Medical-Surgical Registered Nurse
RN206130
AZ
163WP0200X
Pediatric Registered Nurse
RN206130
AZ
163WS0200X
School Registered Nurse
RN206130
AZ
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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