MEDICARE: COLTON WHITEHOUSE CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	008226	NC

General Provider Information

NPI Number	:	1134017346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLTON WHITEHOUSE CRNA

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2025
Last Update Date	:	06/16/2026

Similar Medicare Providers

1346175155 — KIMBERLY DAVITA GRAY
Practice Location Address:

BLDG # 4-3219, 2817 ROCK MERRITT AVENUE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-570-3456
Practice Fax:

1326973181 — SCOTT DEWAINE WILSON
Practice Location Address:

2817 ROCK MERRITT AVE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-7698
Practice Fax:

1053724690 — DR. CHRISTOPHER JAMES CRELLIN M.D.
Practice Location Address:

2817 ROCK MERRITT AVE , WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

1134605199 — SAMUEL ALAN SMITH CRNA
Practice Location Address:

2817 ROCK MERRITT AVE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-8922
Practice Fax:

1578287819 — MICHELLE ELEONORA QUINTANILLA OTR/L
Practice Location Address:

2817 ROCK MERITT AVE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-8707
Practice Fax:

1376264259 — AUSTIN MACIAS DPT
Practice Location Address:

2817 ROCK MERRITT AVE
FORT BRAGG, NC
28310-0001

Practice Phone: 910-907-8922
Practice Fax: 910-907-6069

Directions to “ COLTON WHITEHOUSE CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.