| Doctor Name: | COLLEEN H UNKEL |
| NPI Number: | 1457401275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | R59035 |
| Business Practice Address: | 112 N. Sixth Street Oberlin, LA - 70655 |
| Business Phone Number: | 3376396199 |
| Business Fax Number: | 5055871918 |
| Mailing Address: | 2000 Opelousas Street, LAKE CHARLES |
| State: | LA |
| Postal Code: | 70601 |
| Phone Number: | 3374399983 |
| Fax Number: | 3374393224 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R59035 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |