Organization
COLBERT FAMILY HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUETTA D COLBERT MS,APRN, PMHNP-BC (OWNER)
(937) 529-4376
Entity
Organization
Contact information
Practice address
2580 SHILOH SPRINGS RD, DAYTON, OH 45426-2151
(937) 529-4376
(937) 529-4538
Mailing address
2580 SHILOH SPRINGS RD STE B, DAYTON, OH 45426-2100
(937) 529-4376
(937) 529-4538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP-10322
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891932208
INDIVIDUAL NPI
OH
Enumeration date
05/04/2010
Last updated
03/20/2022
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