Healthcare Provider Details

I. General information

NPI: 1518806157
Provider Name (Legal Business Name): ELAINE MARIE COLBERT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 MARTIN LUTHER KING JR DR
LAFAYETTE LA
70501-1884
US

IV. Provider business mailing address

514 KEVIN DR
LAFAYETTE LA
70507-4708
US

V. Phone/Fax

Practice location:
  • Phone: 337-233-2437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number239851
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: