Individual
MISS ERIKA V COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 EVES DRIVE 134, 134, MARLTON, NJ 08053
(800) 897-9177
Mailing address
37 JACOBY ST, MAPLEWOOD, NJ 07040-3057
(908) 456-4414
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ000768500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-5403880
—
NJ
Enumeration date
08/29/2018
Last updated
08/29/2018
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