Provider Demographics
NPI:1578178489
Name:COLBY, KATRINA L (APRN)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:COLBY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 KING SQ
Mailing Address - Street 2:
Mailing Address - City:WHITEFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03598-3346
Mailing Address - Country:US
Mailing Address - Phone:603-837-2333
Mailing Address - Fax:603-837-9790
Practice Address - Street 1:14 KING SQ
Practice Address - Street 2:
Practice Address - City:WHITEFIELD
Practice Address - State:NH
Practice Address - Zip Code:03598-3346
Practice Address - Country:US
Practice Address - Phone:603-444-8271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH053246-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily