Individual
NATASHA CHANTAY COLEBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST STE 125B, HARTFORD, CT 06106-5501
(860) 263-4100
Mailing address
85 SEYMOUR ST STE 125B, HARTFORD, CT 06106-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002906
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002906
LICENSE
CT
Enumeration date
04/08/2013
Last updated
05/31/2026
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