Individual
MS. CONSTANCE R COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(602) 639-6215
(602) 639-7830
Mailing address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-3030
(602) 639-6215
(602) 639-7830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z130103
MEDICARE ID #
AZ
Enumeration date
08/26/2008
Last updated
10/21/2023
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