Individual
MRS. COLLEEN SUSAN FAUSTINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 CAMPUS DR, NEWTOWN, PA 18940-1784
(215) 497-1400
Mailing address
3319 W PENN ST, PHILADELPHIA, PA 19129-1407
(215) 843-3277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
UP004869B
PA
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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