Colbert, Edwina S

Colbert, Edwina S is an individual health care provider with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Colbert, Edwina S can be contacted via phone (336) 272-1050.

Contact Information

Primary practice address
1046 E Wendover Ave Greensboro NC 27405-6712
Phone: (336) 272-1050
Fax: (336) 272-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200079 North Carolina

Profile Details

NPI number 1316942717
LBN Legal business name Colbert, Edwina S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316942717 NPPES
North Carolina Other 200079 PE#

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