Individual
COLETTE COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9397 CROWN CREST BLVD STE 420, PARKER, CO 80138
(303) 770-0500
(303) 220-5053
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28196602A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71005814A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000965023
ANTHEM PROVIDER NUMBER
IN
05
—
201323600
—
IN
Enumeration date
07/21/2015
Last updated
02/18/2019
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