Graey, Colleen Lynn

Graey, Colleen Lynn is an individual health care provider with primary practice located at 1641 E Polston Ave Ste 101 , Post Falls ID 83854-7852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Graey, Colleen Lynn can be contacted via phone (208) 457-4208.

Contact Information

Primary practice address
1641 E Polston Ave Ste 101 Post Falls ID 83854-7852
Phone: (208) 457-4208
Fax: (208) 457-4197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60811874 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 59685 Idaho

Profile Details

NPI number 1407945041
LBN Legal business name Graey, Colleen Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407945041 NPPES
Idaho MEDICAID 1407945041

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