Doctor Name: | COLLEEN ROONEY |
NPI Number: | 1053448365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | I59727 |
Business Practice Address: | 65 Walnut St Ste 440 Wellesley, MA - 024812196 |
Business Phone Number: | 7812359089 |
Business Fax Number: | |
Mailing Address: | 15 Chestnut St, BELMONT |
State: | MA |
Postal Code: | 024784707 |
Phone Number: | 6174896406 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | I59727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |