CLOVER MARJORIE COLONEL R.N. NPI 1831346964

NPI Information

NPI: 1831346964
Provider Name: CLOVER MARJORIE COLONEL, R.N.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address: 1040 S CHURCH ST
BURLINGTON, NC
ZIP 27215
Phone: (336) 222-8052

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NPI Details

Clover Marjorie Colonel, R.N. is a prosthetic orthotic supplier in Burlington, NC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Clover Marjorie Colonel, R.N. NPI is 1831346964. 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:

1040 S CHURCH ST
BURLINGTON, NC
ZIP 27215-046
Phone: (336) 222-8052
Fax: (336) 222-8091

The enumeration date for this NPI number is 8/20/2008 and was last updated on 10/25/2019.

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	225000000X	Orthotic Fitter				No
2	335E00000X	Prosthetic/Orthotic Supplier			NORTH CAROLINA	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	7795167	MEDICAID	NORTH CAROLINA

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: 11/21/2025

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