Provider Demographics
NPI:1518402908
Name:PERLAK-SOTO, COLLEEN MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MARIE
Last Name:PERLAK-SOTO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3132
Mailing Address - Country:US
Mailing Address - Phone:401-596-8182
Mailing Address - Fax:401-596-8182
Practice Address - Street 1:151 FRANKLIN ST
Practice Address - Street 2:MINUTE CLINIC
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-0000
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:401-216-3854
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily