Ms. Colleen M Shula
Nurse Practitioner - Family Medicine
70 Main St
Porter
, Maine 04068-3527
Ms. Colleen M Shula
Nurse Practitioner - Family Medicine
70 Main St
Porter
, Maine 04068-3527
(207) 756-9412
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Ms. Colleen M Shula
- 70 Main St
- Porter, ME
- Zip : 04068-3527
- Phone : (207) 756-9412
Second Address
- Ms. Colleen M Shula
- 70 Main St
- Porter, ME
- Zip : 04068-3527
- Phone : (207) 756-9412
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Is Ms. Colleen M Shula a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | CNP161189 | ME |
National Provider Identifier
| NPI | 1003266248 |
|---|---|
| Provider Name | Ms. Colleen M Shula |
| First Address | Porter, ME 04068-3527 |
| Second Address | Porter, ME 04068-3527 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2016 |
| Last Update Date | 30/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.