Individual
DUSTY MARIE COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4900 KELLEY HWY, FORT SMITH, AR 72904-5000
(479) 785-5700
(479) 785-5708
Mailing address
4900 KELLEY HWY, FORT SMITH, AR 72904-5000
(479) 785-5700
(479) 785-5708
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A005776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137012001
—
AR
Enumeration date
07/16/2018
Last updated
05/01/2023
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