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Individual

COLLEEN MEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, FNP-BC

Contact information

Practice address
833 CHESTNUT ST STE 205, PHILADELPHIA, PA 19107-4426
(215) 955-6835
(215) 923-5778
Mailing address
246 OLD QUARRY CT, MEDIA, PA 19063-5530
(609) 932-2901

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13098200
NJ
163W00000X
Registered Nurse
L1-005869
DE
163W00000X
Registered Nurse
RN587878
PA
363L00000X
Nurse Practitioner
Primary
26NJ01021700
NJ
363LF0000X
Family Nurse Practitioner
26NJ01021700
NJ
363LF0000X
Family Nurse Practitioner
LG-0001410
DE
363LF0000X
Family Nurse Practitioner
SP021668
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6J3649
NJ
Enumeration date
04/09/2020
Last updated
03/25/2026
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