Healthcare Provider Details

I. General information

NPI: 1568378271
Provider Name (Legal Business Name): JOSEPHINE LORAN COLTON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8027 NIGHTWIND CT
ELKRIDGE MD
21075-6464
US

IV. Provider business mailing address

8027 NIGHTWIND CT
ELKRIDGE MD
21075-6464
US

V. Phone/Fax

Practice location:
  • Phone: 307-256-1067
  • Fax: 410-600-3745
Mailing address:
  • Phone: 307-256-1067
  • Fax: 410-600-3745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR263773
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: