Provider Demographics
NPI:1447406152
Name:COLCLOUGH, GINGA LYNN (FNP-C, MSN)
Entity Type:Individual
Prefix:MS
First Name:GINGA
Middle Name:LYNN
Last Name:COLCLOUGH
Suffix:
Gender:F
Credentials:FNP-C, MSN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3 WASHINGTON CIRCLE NW
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2326
Mailing Address - Country:US
Mailing Address - Phone:202-223-3077
Mailing Address - Fax:202-872-8142
Practice Address - Street 1:3 WASHINGTON CIRCLE NW
Practice Address - Street 2:SUITE 208
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2326
Practice Address - Country:US
Practice Address - Phone:202-223-3077
Practice Address - Fax:202-872-8142
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN51270363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner