Healthcare Provider Details

I. General information

NPI: 1053950345
Provider Name (Legal Business Name): CHRISTINE GABRIELA COLAIANNI MSN, RN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 01/10/2020
Certification Date: 01/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MANNING DR
CHAPEL HILL NC
27514-4221
US

IV. Provider business mailing address

111 DANFORTH DR
CARY NC
27511-3184
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1401
  • Fax: 919-966-2922
Mailing address:
  • Phone: 847-302-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number253543
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5012686
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: