| Doctor Name: | COLLEEN ANNE GUMM |
| NPI Number: | 1568485951 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN104226 |
| Business Practice Address: | 12394 N Paseo Penuela Marana, AZ - 856584704 |
| Business Phone Number: | 5204771417 |
| Business Fax Number: | 5207624762 |
| Mailing Address: | 12394 N Paseo Penuela, MARANA |
| State: | AZ |
| Postal Code: | 856584704 |
| Phone Number: | 5204771417 |
| Fax Number: | 5207624762 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | RN104226 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |