Individual
MR. COLLEEN K MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
867 DUKES DR, YARDLEY, PA 19067-3120
(267) 392-5667
Mailing address
867 DUKES DR, YARDLEY, PA 19067-3120
(267) 392-5667
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
519498-1
NY
Other
Enumeration date
11/26/2007
Last updated
10/19/2008
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