DUSTY MARIE COLBURN APRN NPI 1730665449

NPI Information

NPI: 1730665449
Provider Name: DUSTY MARIE COLBURN, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4900 KELLEY HWY
FORT SMITH, AR
ZIP 72904
Phone: (479) 785-5700
Get Directions

Dusty Marie Colburn, APRN is a pediatrics nurse practitioner in Fort Smith, AR. Dusty Marie Colburn, APRN NPI is 1730665449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4900 KELLEY HWY
FORT SMITH, AR
ZIP 72904-000
Phone: (479) 785-5700
Fax: (479) 785-5708

The enumeration date for this NPI number is 7/16/2018 and was last updated on 5/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	A005776	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	137012001	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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