Provider Demographics
NPI:1578000246
Name:COLBURN, KARLA ROSS (ARNP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:ROSS
Last Name:COLBURN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:TERESA
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:111 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5412
Practice Address - Country:US
Practice Address - Phone:888-339-6065
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013061363LF0000X, 363L00000X
WAAP60728165363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily