Individual
MARY COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
850 N MAIN STREET EXT, WALLINGFORD, CT 06492-2400
(203) 626-4203
(203) 626-1624
Mailing address
850 N MAIN STREET EXT, WALLINGFORD, CT 06492-2400
(203) 626-4203
(203) 626-1624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
007605
CT
Other
Enumeration date
06/12/2018
Last updated
12/16/2025
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