Individual
MS. COLLEEN ELIZABETH NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 IRVING AVENUE, SYRACUSE, NY 13210
(315) 425-2433
(315) 425-3457
Mailing address
800 IRVING AVENUE, SYRACUSE, NY 13210
(315) 425-2433
(315) 425-3457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026558506
UNIVERA
NY
01
—
000560642002
BLUE CROSS OF WNY
NY
01
—
050404000010
FIDELIS
NY
01
—
9512184
INDEPENDENT HEALTH
NY
01
—
P00107605
RAILROAD MEDICARE
NY
Enumeration date
07/24/2006
Last updated
10/01/2015
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