| Doctor Name: | MS. COLLEEN ELEANOR NADOLSKI |
| NPI Number: | 1033143383 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-C |
| License Number: | 101-0016288 |
| Business Practice Address: | 302 University Blvd Round Rock, TX - 786651032 |
| Business Phone Number: | 5125090299 |
| Business Fax Number: | |
| Mailing Address: | Po Box 844658, DALLAS |
| State: | TX |
| Postal Code: | 752844658 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 09/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 101-0016288 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |