Organization
MANCHESTER MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE L COLGAN CRNP (SOLE PROPRIETOR)
(443) 255-6417
Entity
Organization
Contact information
Practice address
2111 HANOVER PIKE FL 1, HAMPSTEAD, MD 21074-1319
(410) 374-9500
(410) 374-5311
Mailing address
2111 HANOVER PIKE FL 1, HAMPSTEAD, MD 21074-1319
(410) 374-9500
(410) 374-5311
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
SP014888
PA
Other
Enumeration date
10/04/2016
Last updated
01/07/2026
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