Individual
MS. COLLEEN A PHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPI
Contact information
Practice address
1111 HIGH ST, AUBURN, CA 95603-5151
(530) 885-5177
Mailing address
1111 HIGH ST, AUBURN, CA 95603-5151
(530) 885-5177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
355373CP
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18390
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2008
Last updated
02/23/2016
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