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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902803208 NPPES
Arizona Other AP1972 AZ NP LIC

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