Individual
COLTON J MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3399 TRINDLE RD, CAMP HILL, PA 17011-4407
(717) 761-5530
(717) 737-7197
Mailing address
3399 TRINDLE RD, CAMP HILL, PA 17011-4407
(717) 761-5530
(717) 737-7197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022959
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP022959
STATE LICENSE
PA
Enumeration date
12/11/2020
Last updated
11/30/2021
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