Individual
MS. CECILIA ANN COLOMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7475 UNION PARK AVE, MIDVALE, UT 84047-1811
(801) 566-2502
(801) 566-2535
Mailing address
990 E SOUTH UNION AVE #31, MIDVALE, UT 84047
(801) 759-2013
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5886409-8900
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z8216
—
NM
Enumeration date
06/01/2006
Last updated
02/04/2008
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