Healthcare Provider Details

I. General information

NPI: 1578000246
Provider Name (Legal Business Name): KARLA ROSS COLBURN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARLA TERESA ROSS

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CENTRAL ST
SYLVA NC
28779-5412
US

IV. Provider business mailing address

PO BOX 360
SYLVA NC
28779-0360
US

V. Phone/Fax

Practice location:
  • Phone: 888-339-6065
  • Fax: 855-308-2340
Mailing address:
  • Phone: 888-339-6065
  • Fax: 828-538-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5013061
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60728165
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5013061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: