Individual
COLLEEN ELIZABETH AHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 FERNCLIFF AVE, ROYAL OAK, MI 48073-3818
(248) 763-4627
Mailing address
2228 FERNCLIFF AVE, ROYAL OAK, MI 48073-3818
(248) 763-4627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704307063
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704307063
MI
Other
Enumeration date
07/30/2022
Last updated
04/26/2023
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