Provider Demographics
NPI:1811169949
Name:CAREY, COLLEEN THERESA (FNP)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:THERESA
Last Name:CAREY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WMC VALHALLA CAMPUS PATIENT CARE
Mailing Address - Street 2:MACY PAVILLION ROOM 1428 1ST FLOOR
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-8793
Mailing Address - Fax:
Practice Address - Street 1:WMC VALHALLA CAMPUS PATIENT CARE
Practice Address - Street 2:MACY PAVILLION ROOM 1428 1ST FLOOR
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-8793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily