MS. COLLEEN A PHALEN (NPI# 1639354772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639354772 |
Entity Type | Individual |
Full Name | MS. COLLEEN A PHALEN |
Credential | NPI |
Practice Address |
1111 High St Auburn CA 95603-5151 |
Practice Telephone | 5308855177 |
Mailing Telephone | 5308855177 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2016-02-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 355373CP | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
18390 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982916722 | Colleen Elizabeth Phalen | Student in an Organized Health Care Education/Training Program | 1563 N Main St, Suite 202, Fall River, MA 02720-2983 | 2010-07-09 |
Street Address |
1111 HIGH ST |
City | AUBURN |
State | CA |
Zip Code | 95603-5151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881818797 | David Ryan Doak | Marriage & Family Therapist | 1111 High St, Suite A, Auburn, CA 95603-5109 | 2007-04-12 |
1174801773 | David Vernon Foster | Psychiatry & Neurology | 1111 High St, Auburn, CA 95603-5151 | 2011-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
Find all providers in zip 95603 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780141564 | Wassan Singh | Nurse Practitioner | 5110 S 300th Pl, Auburn, WA 98001-2336 | 2019-02-27 |
1598273237 | Kelechi Nwaorgu | Nurse Practitioner | 29802 118th Pl Se, Auburn, WA 98092-3263 | 2018-01-16 |
1730502097 | Justin Carl Mcclanahan | Nurse Practitioner | 202 N Division St Ste 200, Auburn, WA 98001-4939 | 2014-01-22 |
1629399118 | Susan Anne Foote | Nurse Practitioner | 2704 I Street Ne, Auburn, WA 98002 | 2010-06-18 |
1386836468 | Linda Ann Nelson | Nurse Practitioner | 101 Hamilton Avenue, Cayuga Home for Children, Auburn, NY 13021 | 2007-08-13 |
1942314000 | Donna Brazel | Nurse Practitioner | 4240 Auburn Way N, Auburn, WA 98002-1311 | 2006-08-18 |
1639183452 | Deborah Marie Kabisch | Nurse Practitioner | 2704 I St Ne, Auburn, WA 98002-2411 | 2006-07-28 |
1265408181 | Sandra Zambello | Nurse Practitioner | 146 North St, Auburn, NY 13021-1831 | 2006-02-28 |
1013912385 | Betsy Dale Poot Poot | Nurse Practitioner | 16300 Se Lake Holm Rd, Auburn, WA 98092-5929 | 2005-06-14 |
1235771932 | Lea Pauline Sherman | Nurse Practitioner | 4240 Auburn Way N, Auburn, WA 98002-1311 | 2019-10-14 |
Find all providers in AUBURN |
Please comment or provide details below to improve the information on MS. COLLEEN A PHALEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.