Provider Demographics
NPI:1215449871
Name:THURLOW-COLLEN, MARY T (CNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:THURLOW-COLLEN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DENISON UNIVERSITY HEALTH AND COUNSELING CENTER
Mailing Address - Street 2:WHISLER HALL, 800 EAST LOOP
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023
Mailing Address - Country:US
Mailing Address - Phone:740-587-6200
Mailing Address - Fax:
Practice Address - Street 1:329 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-1317
Practice Address - Country:US
Practice Address - Phone:740-404-9867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.231987363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health