Individual
JEAN M COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1017 S 2ND AVE, STE 2, WALLA WALLA, WA 99362-4183
(509) 522-0606
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00074096
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30002544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035167
—
OR
05
—
9615253
—
WA
Enumeration date
07/21/2005
Last updated
01/21/2008
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