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MS. COLEEN R MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
544 PATTERSON BLVD, FAIRFIELD, OH 45014-2514
(513) 896-9595
(513) 896-4171
Mailing address
544 PATTERSON BLVD, FAIRFIELD, OH 45014-2514
(513) 896-9595
(513) 896-4171

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.08027
OH
363LP2300X
Primary Care Nurse Practitioner
08027
OH

Other

Enumeration date
11/15/2006
Last updated
10/09/2024
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