Individual
MRS. COLLEEN ANN MURTHA-STOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
56 45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
56 45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306372-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340880-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03782469
—
NY
Enumeration date
05/10/2013
Last updated
06/17/2014
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