Individual
MS. COLLEEN ELIZABETH TILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC, CMSRN
Contact information
Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1090
(518) 587-3222
Mailing address
5773 LAKE RD, GALWAY, NY 12074-2810
(518) 421-6544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343123
NY
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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