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NPI Code Detail

MEDICARE: STACEY ELAINE COLBERT MSN, WHNP-BC, FNP-BC

MEDICARE: STACEY ELAINE COLBERT MSN, WHNP-BC, FNP-BC
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
1363LF0000XFamily Nurse Practitioner4704244115MI
2363LW0102XWomen's Health Nurse Practitioner5008282NC
3363LW0102XWomen's Health Nurse Practitioner4704244115MI
4363LF0000XFamily Nurse Practitioner5008282NC

General Provider Information

NPI Number : 1356663041
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY ELAINE COLBERT MSN, WHNP-BC, FNP-BC
Provider Business Mailing Address
First Line : 421 FAYETTEVILLE ST STE 1100
Second Line :
City : RALEIGH
State : NC
Zip : 27601-3000
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 421 FAYETTEVILLE ST STE 1100
Second Line :
City : RALEIGH
State : NC
Zip : 27601-3000
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 05/18/2026

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