Provider Demographics
NPI:1457170375
Name:AFFIAH, COLETTE NANCY (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:NANCY
Last Name:AFFIAH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MRS
Other - First Name:COLETTE
Other - Middle Name:NANCY
Other - Last Name:AFFIAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COLETTE S INYANG
Mailing Address - Street 1:2288 FLETCHERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2951
Mailing Address - Country:US
Mailing Address - Phone:919-672-3867
Mailing Address - Fax:
Practice Address - Street 1:101 CABARRUS AVE E STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3781
Practice Address - Country:US
Practice Address - Phone:855-743-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020994363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health