Healthcare Provider Details

I. General information

NPI: 1780109207
Provider Name (Legal Business Name): COLBE INGELS FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2017
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 VALLEY DR
POINT PLEASANT WV
25550-2031
US

IV. Provider business mailing address

2520 VALLEY DR
POINT PLEASANT WV
25550-2031
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-4340
  • Fax:
Mailing address:
  • Phone: 304-675-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0035414
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN79848-FNP-BC
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: