Healthcare Provider Details

I. General information

NPI: 1831574839
Provider Name (Legal Business Name): COLETTE COLBURN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COLETTE LAMBRIGHT

II. Dates (important events)

Enumeration Date: 07/21/2015
Last Update Date: 02/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9397 CROWN CREST BLVD STE 420
PARKER CO
80138
US

IV. Provider business mailing address

PO BOX 911244
DENVER CO
80291-1244
US

V. Phone/Fax

Practice location:
  • Phone: 303-770-0500
  • Fax: 303-220-5053
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28196602A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71005814A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: