Most Relevant Information
Provider Data
| NPI Number: | 1003266248 |
| Provider Name: | COLLEEN M SHULA APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | CNP161189 |
Most Important Dates
| Enumeration Date: | 06/19/2016 |
| Last Updated: | 11/30/2016 |
Provider Practice Location
70 MAIN ST
PORTER
ME
040683527
Practice Location Phone/Fax
| Phone: | 2077569412 |
| Fax: |
Provider Mailing Location
70 MAIN ST
PORTER
ME
040683527
Provider Mailing Phone/Fax
| Phone: | 2077569412 |
| Fax: |