Individual
MRS. COLLEEN MARIE TRUAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(855) 931-1005
Mailing address
5366 JERICHO HILL RD, ALFRED STATION, NY 14803-9736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217198
NC
163W00000X
Registered Nurse
575354
NY
163WR0006X
Registered Nurse First Assistant
350825
NY
363LF0000X
Family Nurse Practitioner
Primary
350825
NY
363LF0000X
Family Nurse Practitioner
5016427
NC
Other
Enumeration date
03/15/2022
Last updated
02/05/2025
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