Provider Demographics
NPI:1740610799
Name:WOOLSEY, COLLEEN DEVNEY (ARNP)
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:DEVNEY
Last Name:WOOLSEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13001 42ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4624
Mailing Address - Country:US
Mailing Address - Phone:206-361-0542
Mailing Address - Fax:
Practice Address - Street 1:13001 42ND AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4624
Practice Address - Country:US
Practice Address - Phone:206-361-0542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA242412163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics