Individual
RUSSELL MICHAEL COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6265 UNION CT, ARVADA, CO 80004-4021
(303) 507-8902
Mailing address
6265 UNION CT, ARVADA, CO 80004-4021
(303) 507-8902
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0167412
CO
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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