Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 777842 | TX |
NPI | 1033143383 |
---|---|
Provider Name | Ms. Colleen Eleanor Nadolski |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-1032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 05/02/2018 |