Healthcare Provider Details

I. General information

NPI: 1881775344
Provider Name (Legal Business Name): KAREN E BUTLER-COLBERT MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 WISCONSIN AVE NW SUITE 513
WASHINGTON DC
20015-2014
US

IV. Provider business mailing address

5225 WISCONSIN AVE NW SUITE 513
WASHINGTON DC
20015-2014
US

V. Phone/Fax

Practice location:
  • Phone: 202-279-0300
  • Fax: 202-364-0561
Mailing address:
  • Phone: 202-279-0300
  • Fax: 202-364-0561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR146190
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN1012702
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: