National Provider Identifier
Colleen Sue Walters, FNP-C
Colleen Sue Walters, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Gerry, NY and a listed phone number of (716) 985-4612.
Profile Overview
- NPI
- 1417003518
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- January 25, 2007
- Last Updated
- December 22, 2009
Practice Location
- 4570 Route 60
- Gerry, NY 14740
Phone: (716) 985-4612
Mailing Address
- 232 Main St
- Randolph, NY 14772-1221
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1417003518
- Entity Type
- Individual
- Last Name
- Walters
- First Name
- Colleen
- Middle Name
- Sue
- Name Prefix
- Mrs.
- Credential
- FNP-C
- Mailing Street Address
- 232 Main St
- Mailing City
- Randolph
- Mailing State
- NY
- Mailing ZIP Code
- 14772-1221
- Mailing Country
- US
- Mailing Phone
- (716) 378-2926
- Practice Street Address
- 4570 Route 60
- Practice City
- Gerry
- Practice State
- NY
- Practice ZIP Code
- 14740
- Practice Country
- US
- Practice Phone
- (716) 985-4612
- Enumeration Date
- January 25, 2007
- Last Updated
- December 22, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)