SHANNON MARIE COLBORN (NPI# 1821555129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821555129 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE COLBORN |
| Credential | APRN |
| Practice Address |
330 Western Blvd Ste 102 Glastonbury CT 06033 |
| Mailing Address |
330 Western Blvd Ste 102 Glastonbury CT 06033-4383 |
| Practice Telephone | 8605470306 |
| Mailing Telephone | 8605470306 |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
8101 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70 Murray Ln, Guilford, CT 064372229 | 2032282625 |
| Street Address |
330 WESTERN BLVD STE 102 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396945085 | Natalie C Webb | Obstetrics & Gynecology | 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 | 2007-07-20 |
| 1699232207 | Kathleen Marie Miller | Nurse Practitioner | 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 | 2019-03-01 |
| 1508277575 | Shannon Mckernan Sutherland | Obstetrics & Gynecology | 330 Western Blvd Ste 102, Glastonbury, CT 06033 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414905 | Jessica Kiback | Nurse Practitioner | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | 2019-02-21 |
| 1952833394 | Kulwinder Nicole Bajwa | Nurse Practitioner | 1075 Asylum Ave Fl 1, Hartford, CT 06105-2455 | 2017-04-03 |
| 1073977591 | Megan Monteiro | Nurse Practitioner | 120 Park Lane Rd # 202, New Milford, CT 06776-2444 | 2016-04-11 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1578962528 | Chloe Quinn | Nurse Practitioner | 1030 New Britain Avenue, West Hartford, CT 06110-2261 | 2014-08-15 |
| 1578985032 | Cynthia A. Ely I | Nurse Practitioner | 30 Deepwood Rd, Wilton, CT 06897-4201 | 2014-01-16 |
| 1578775953 | Lorna Cassidy Aliperti | Nurse Practitioner | 236 Stamford Ave, Stamford, CT 06902-8233 | 2007-05-05 |
| 1760502397 | Kristen Maria Stehle | Nurse Practitioner | 4 Shaws Cv Ste 105, New London, CT 06320-4956 | 2007-03-29 |
| 1164446878 | Patricia A Labowsky | Nurse Practitioner | 415 Howe Ave, Shelton, CT 06484-3166 | 2006-07-26 |
| 1164458386 | Shawn Polizzi | Nurse Practitioner | 1090 Main St, Branford, CT 06405-3716 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on SHANNON MARIE COLBORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.