Individual
MS. COLLEEN MARIE WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS ANP
Contact information
Practice address
1001 POTRERO AVE, BLDG. 9, ROOM 115, SAN FRANCISCO, CA 94110-3518
(415) 206-2649
(415) 206-6073
Mailing address
1247 ROSITA RD, PACIFICA, CA 94044-4224
(650) 355-1912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RNP421777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6124
NP CERTIFICATE
CA
Enumeration date
07/28/2005
Last updated
07/22/2015
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