Individual
COLLEEN SANSOUCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-4922
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN94448347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118705100
—
FL
01
—
MPT88
BCBS
FL
Enumeration date
12/02/2015
Last updated
01/04/2024
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