Individual
COLLEEN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 CHARLES ST, SOUTH AMBOY, NJ 08879-1425
(908) 217-6417
Mailing address
722 CHARLES ST, SOUTH AMBOY, NJ 08879-1425
(908) 217-6417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00601000
NJ
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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