Individual
COLLEEN J SPEIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1003 DIVISION ST STE 2, PRESCOTT, AZ 86301-1657
(928) 777-0700
(928) 778-5507
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN084306
AZ
Other
Enumeration date
09/13/2005
Last updated
01/31/2020
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