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NPI Code Detail

MEDICARE: COLLEEN PARAMESH NP

MEDICARE: COLLEEN PARAMESH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA153039IA
2363LF0000XFamily Nurse Practitioner4731-33WI

General Provider Information

NPI Number : 1215208202
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN PARAMESH NP
Provider Business Mailing Address
First Line : 12321 N. VIRGINIA AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64165-8215
Country : US
Telephone Number : 608-780-7840
Fax Number :
Provider Business Practice Location Address
First Line : 3640 MIDDLEBURY RD
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2712
Country : US
Telephone Number : 319-339-7472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2012
Last Update Date : 08/20/2021

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