Individual
COLLEEN MARGARET MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041369961
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.010761
IL
Other
Enumeration date
11/04/2013
Last updated
06/20/2018
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