Provider Demographics
NPI:1285040014
Name:COLVETT, MEGAN (CRNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:COLVETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 EXPLORER BLVD NW RM 2105
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2806
Mailing Address - Country:US
Mailing Address - Phone:256-964-4422
Mailing Address - Fax:
Practice Address - Street 1:1002 EXPLORER BLVD NW RM 2105
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2806
Practice Address - Country:US
Practice Address - Phone:256-964-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily