| NPI | 1760678288 |
|---|---|
| Former Name | COLLEEN ANN MCCALLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0004643-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0004643-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN0004643) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-02-09 |