| NPI | 1922189190 |
|---|---|
| Former Name | COLLEEN ANNE ASTLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9379521) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9379521) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN150271 NP) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-12-08 |