Provider Demographics
NPI:1720386113
Name:COLTON, DEBBY ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBBY
Middle Name:ANN
Last Name:COLTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E BARNEY ST
Mailing Address - Street 2:
Mailing Address - City:GOUVERNEUR
Mailing Address - State:NY
Mailing Address - Zip Code:13642-1193
Mailing Address - Country:US
Mailing Address - Phone:315-287-1902
Mailing Address - Fax:315-287-5517
Practice Address - Street 1:133 E BARNEY ST
Practice Address - Street 2:
Practice Address - City:GOUVERNEUR
Practice Address - State:NY
Practice Address - Zip Code:13642-1193
Practice Address - Country:US
Practice Address - Phone:315-287-1902
Practice Address - Fax:315-287-5517
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338464-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool