Individual
COLLEEN M KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 285-7222
(304) 285-7383
Mailing address
PO BOX 9214, MORGANTOWN, WV 26506-9214
(304) 293-6307
(304) 293-1216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
82672
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
08/27/2008
Last updated
10/27/2015
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