Individual
ANDREA DAWN COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
444 WILLIAMSON RD STE B, MOORESVILLE, NC 28117-9248
(704) 360-3910
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010047
NC
Other
Enumeration date
11/13/2017
Last updated
05/27/2022
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