Colley, Nancy L

Colley, Nancy L is an sole proprietor health care provider with primary practice located at 6223 Beechmont Blvd , Orlando FL 32808-2317. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Colley, Nancy L can be contacted via phone (407) 780-0585.

Contact Information

Primary practice address
6223 Beechmont Blvd Orlando FL 32808-2317
Phone: (407) 780-0585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1952569741
LBN Legal business name Colley, Nancy L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2008
Last updated Jun 12th, 2008 - about 16 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 1952569741 NPPES
Florida MEDICAID 693265796
Florida MEDICAID 693265798

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