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NPI Code Detail

MEDICARE: MS. CAROL ANN COLOMA FNP

MEDICARE: MS. CAROL ANN COLOMA FNP
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 Practitioner0024127996VA
2363LF0000XFamily Nurse PractitionerAC000700MD
3363LF0000XFamily Nurse PractitionerRN1021524DC
4363LF0000XFamily Nurse Practitioner95000770CA

General Provider Information

NPI Number : 1528098217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL ANN COLOMA FNP
Provider Business Mailing Address
First Line : 8994 ROTHERHAM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92129-3137
Country : US
Telephone Number : 703-258-5824
Fax Number :
Provider Business Practice Location Address
First Line : 2760 FLETCHER PKWY
Second Line :
City : EL CAJON
State : CA
Zip : 92020-2110
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 06/13/2014

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