Individual
MS. COLLEEN CHADDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MSN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704105291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3200785-10
—
MI
01
—
Q04418
UPIN #
MI
Enumeration date
06/28/2005
Last updated
06/07/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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