MEDICARE: ANDREA CHRISTINE COLBURN DNP, MSN, AGACNP

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	363LA2100X	Acute Care Nurse Practitioner	AP126513	TX

General Provider Information

NPI Number	:	1356742068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA CHRISTINE COLBURN DNP, MSN, AGACNP

Provider Business Mailing Address
First Line	:	2819 ARBOR EDGE XING
Second Line	:
City	:	LA MARQUE
State	:	TX
Zip	:	77568-1379
Country	:	US
Telephone Number	:	832-622-5403
Fax Number	:

Provider Business Practice Location Address
First Line	:	6807 EMMETT F LOWRY EXPY STE 108
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-2547
Country	:	US
Telephone Number	:	409-945-5444
Fax Number	:

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

Provider Enumeration Date	:	09/12/2014
Last Update Date	:	02/22/2026

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