Provider Demographics
NPI:1265711592
Name:MCLAUGHLIN, COLLEEN ANNE (NP)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:ANNE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 ERWIN ROAD
Mailing Address - Street 2:BOX 3350 DUMC
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3350
Mailing Address - Country:US
Mailing Address - Phone:919-668-2657
Mailing Address - Fax:
Practice Address - Street 1:2300 ERWIN ROAD
Practice Address - Street 2:BOX 3350 DUMC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3350
Practice Address - Country:US
Practice Address - Phone:919-668-2657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC300260363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics