| Doctor Name: | COLLEEN R NUXOLL |
| NPI Number: | 1114184959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN,WHNP,RDMS |
| License Number: | 209000162 |
| Business Practice Address: | 912 N Henrietta St Effingham, IL - 624011788 |
| Business Phone Number: | 2173423337 |
| Business Fax Number: | 2173423338 |
| Mailing Address: | Po Box 784, 912 N Henrietta St EFFINGHAM |
| State: | IL |
| Postal Code: | 624010784 |
| Phone Number: | 2173423337 |
| Fax Number: | 2173423338 |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 209000162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |