Individual
COLLEEN DEPAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN
Contact information
Practice address
1640 ROUTE 88 STE 201, BRICK, NJ 08724-3068
(732) 840-1900
(732) 840-0355
Mailing address
1640 ROUTE 88 STE 201, BRICK, NJ 08724-3068
(732) 840-1900
(732) 840-0355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00061700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132420
—
NJ
Enumeration date
02/13/2007
Last updated
03/25/2014
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