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Individual

MS. COLLEEN MARY CARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, PMHNP

Contact information

Practice address
1001 POTRERO AVE, BUILDING 100, ROOM 350, SAN FRANCISCO, CA 94110-3518
(415) 206-8843
(415) 206-8182
Mailing address
1001 POTRERO AVE, BUILDING 100, ROOM 350, SAN FRANCISCO, CA 94110-3518
(415) 206-8843
(415) 206-8182

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
378570
CA
163WN0300X
Nephrology Registered Nurse
378570
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20988
CA

Other

Enumeration date
08/03/2010
Last updated
01/05/2012
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