Individual provider · Type 1 NPI

Colleen Kathryn Tillery

Acute Care Nurse Practitioner · Fresno, CA

NPI number 1033955562 Active

Practice location

1303 E Herndon Ave
Fresno, CA 93720-3309

Mailing address

3162 Richmond Ave
Clovis, CA 93619-8109

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XNP95029920 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1033955562

Colleen Kathryn Tillery's National Provider Identifier is 1033955562, issued on Jul 3, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Fresno, CA. The record was last updated on Jul 3, 2024.