Healthcare Provider Details

I. General information

NPI: 1093340465
Provider Name (Legal Business Name): ANNA COLBY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 ALVERSER PLZ
MIDLOTHIAN VA
23113-2604
US

IV. Provider business mailing address

PO BOX 72605
NORTH CHESTERFIELD VA
23235-8017
US

V. Phone/Fax

Practice location:
  • Phone: 804-379-0116
  • Fax: 804-379-1088
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number345726
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: