Individual
LAURA FAYE COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7500
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7500
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
701197-1
NY
363LP0200X
Pediatric Nurse Practitioner
382731
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382731-1
NY
Other
Enumeration date
07/01/2016
Last updated
03/24/2025
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