Coleen R McCormick, CNP
Nurse Practitioner, Family in Fairfield, OH. Individual provider (NPI-1).
NPI number1861565327
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1861565327
- Entity type
- Individual (NPI-1)
- Name
- Ms. Coleen R McCormick
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2006
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.08027 | OH | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 08027 | OH |
Other names
- Coleen R Popp (Former Name)
Practice location
544 Patterson BlvdFairfield, OH 45014-2514
Phone 513-896-9595 · Fax 513-896-4171
Mailing address
544 Patterson BlvdFairfield, OH 45014-2514
Phone 513-896-9595 · Fax 513-896-4171
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