MEDICARE: COLLEEN CLOUGHERTY

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	363LF0000X	Family Nurse Practitioner	1020327	MA

General Provider Information

NPI Number	:	1699541425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN CLOUGHERTY

Provider Business Mailing Address
First Line	:	32000 RANCH ROAD 12
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-3134
Country	:	US
Telephone Number	:	512-882-3116
Fax Number	:	512-882-3116

Provider Business Practice Location Address
First Line	:	32000 RANCH ROAD 12
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-3134
Country	:	US
Telephone Number	:	512-882-3116
Fax Number	:	512-882-3116

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

Provider Enumeration Date	:	12/04/2023
Last Update Date	:	03/05/2026

Similar Medicare Providers

1225697238 — TREVOR HOPPER FNP-C
Practice Location Address:

32000 RR 12
DRIPPING SPRINGS, TX
78620-3134

Practice Phone: 512-882-9116
Practice Fax: 512-882-9116

1730188814 — CHANDRA SUNDERHAUS-COLLINS D.O.
Practice Location Address:

325 PARKSIDE DR
COLORADO SPRINGS, CO
80910-3134

Practice Phone: 719-630-2387
Practice Fax: 719-630-2328

1184684896 — DAVID RICHMAN MD
Practice Location Address:

325 S PARKSIDE DR
COLORADO SPRINGS, CO
80910-3134

Practice Phone: 719-636-2800
Practice Fax: 719-636-2829

1376572339 — SAFEWAY INC
Practice Location Address:

1121 N CIRCLE DR
COLORADO SPRINGS, CO
80909-3134

Practice Phone: 719-573-6061
Practice Fax: 719-573-1059

1003923640 — J. T. L. MCNEW, M.D., FAAFP
Practice Location Address:

207 SULPHUR SPRINGS RD
BRYAN, TX
77801-3134

Practice Phone: 979-823-8101
Practice Fax: 979-822-7620

1972607026 — DR. PAULA E. WEGERT MD
Practice Location Address:

325 S PARKSIDE DR
COLORADO SPRINGS, CO
80910-3134

Practice Phone: 719-630-8000
Practice Fax: 719-520-0387

Directions to “ COLLEEN CLOUGHERTY ” 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.