Provider Demographics
NPI:1811619836
Name:COLOMBO, WHITNEY (APRN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:COLOMBO
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 1:20151 ERIN POND RD E
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:AL
Mailing Address - Zip Code:36574-2797
Mailing Address - Country:US
Mailing Address - Phone:251-599-1253
Mailing Address - Fax:
Practice Address - Street 1:168 MOBILE INFIRMARY BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3510
Practice Address - Country:US
Practice Address - Phone:251-433-1895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-145459363LF0000X
FLAPRN11021658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily