Provider Demographics
NPI:1043002272
Name:COLOMB, NORA EILEEN (RN)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:EILEEN
Last Name:COLOMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:EILEEN
Other - Last Name:BLOHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:17 POTTER ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:NY
Mailing Address - Zip Code:12887-1303
Mailing Address - Country:US
Mailing Address - Phone:518-321-1381
Mailing Address - Fax:518-321-1381
Practice Address - Street 1:17 POTTER ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:NY
Practice Address - Zip Code:12887-1303
Practice Address - Country:US
Practice Address - Phone:518-321-1381
Practice Address - Fax:518-321-1381
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY444037163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty