Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN M CANAVAN, PA
ActiveCOLLEEN M CANAVAN, PA is a Physician Assistant healthcare provider located in JERSEYVILLE, Illinois. NPI 1205090644 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JERSEYVILLE, IL
Registration Details
- NPI Number
- 1205090644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2008 (18.061392921013 yrs)
- Last Updated
- Sep 21, 2016
- License
-
085000651 (IL)
Practice Information
- Address
-
390 MAPLE SUMMIT RDJERSEYVILLE, IL, 620522000Browse IL providers · Browse ZIP 62052
- Phone
- 6184982101
- Fax
- 6184988153
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JERSEYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| ROBERT E WHITMAN | PA-C | 1578710281 |
| MRS. LINDSEY BUCKLES | PA | 1508258393 |
| LILLIAN G SHIVELY | PA-C | 1972108280 |
| ABBY MARIE BAALMAN | PA-C | 1114759255 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.