Provider Demographics
NPI:1932398807
Name:POWERS, COLLEEN ANN (FAMILY NURSE PRAC)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:ANN
Last Name:POWERS
Suffix:
Gender:F
Credentials:FAMILY NURSE PRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CASTLE PL
Mailing Address - Street 2:THE COLLEGE OF NEW ROCHELLE HEALTH SERVICES OFFICE
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2339
Mailing Address - Country:US
Mailing Address - Phone:914-654-5311
Mailing Address - Fax:914-654-5885
Practice Address - Street 1:29 CASTLE PL
Practice Address - Street 2:THE COLLEGE OF NEW ROCHELLE HEALTH SERVICES OFFICE
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2339
Practice Address - Country:US
Practice Address - Phone:914-654-5311
Practice Address - Fax:914-654-5885
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY330315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner