Individual
MS. ANNE BORNE COLWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
159 LONGVIEW DR STE C, DESTREHAN, LA 70047-5076
(985) 764-7669
Mailing address
1117 HIGHWAY 20, THIBODAUX, LA 70301-6240
(985) 633-3150
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05955
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02009040
—
MS
05
—
2379569
—
LA
Enumeration date
10/12/2009
Last updated
01/05/2015
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