Individual
SHANNON MARIE COLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033
(860) 547-0306
Mailing address
330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033-4383
(860) 547-0306
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
8101
CT
Other
Enumeration date
02/23/2019
Last updated
04/17/2019
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