Doctor Name: | MS. PATRICIA COLUCCI |
NPI Number: | 1447441829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, C, CCM |
License Number: | 26NO08498400 |
Business Practice Address: | 57 Crenshaw Dr Flanders, NJ - 078364721 |
Business Phone Number: | 9734599966 |
Business Fax Number: | 9739271350 |
Mailing Address: | Po Box 495, FLANDERS |
State: | NJ |
Postal Code: | 078360495 |
Phone Number: | 9734599966 |
Fax Number: | 9739271350 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 26NO08498400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |