Colella, Jean Marie
Colella, Jean Marie is an sole proprietor health care provider with primary practice located at 1050 Gail Gardner Way Ste 300 , Prescott AZ 86305-1640. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Colella, Jean Marie can be contacted via phone (928) 717-5232.Contact Information
Primary practice address
1050 Gail Gardner Way Ste 300
Prescott AZ 86305-1640
Phone: (928) 717-5232
Fax: (928) 717-5238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN090566 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP1972 | Arizona |
Profile Details
NPI number | 1902803208 |
---|---|
LBN Legal business name | Colella, Jean Marie |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2005 |
Last updated | Feb 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902803208 | NPPES |
Arizona | Other | AP1972 | AZ NP LIC |
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