Individual
MRS. JEAN MARIE COLELLA
Active
Individual
MRS. JEAN MARIE COLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN090566
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1972
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1972
AZ NP LIC
AZ
Enumeration date
06/30/2005
Last updated
02/25/2019
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