Individual
MS. HEATHER VILLA COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 792-2060
Mailing address
100 VANCE ST, CHAPMANVILLE, WV 25508-9420
(304) 855-4558
(304) 855-3376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52669
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060164000
—
WV
Enumeration date
04/29/2008
Last updated
04/29/2008
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