MEDICARE: DELAYNE ANN COLBY PA

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	390200000X	Student in an Organized Health Care Education/Training Program		UT

General Provider Information

NPI Number	:	1730048570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELAYNE ANN COLBY PA

Provider Business Mailing Address
First Line	:	13182 S VISTA STATION BLVD APT B226
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-2379
Country	:	US
Telephone Number	:	970-531-3689
Fax Number	:

Provider Business Practice Location Address
First Line	:	13182 S VISTA STATION BLVD APT B226
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-2379
Country	:	US
Telephone Number	:	970-531-3689
Fax Number	:	970-531-3689

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ DELAYNE ANN COLBY PA” Practice Location

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