Individual
COLLEEN PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4200
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
602429-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F336815-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03602751
—
NY
Enumeration date
11/08/2011
Last updated
12/21/2022
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