DR. ANDREW JOSEPH COLBURN (NPI# 1972166916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972166916 |
Entity Type | Individual |
Full Name | DR. ANDREW JOSEPH COLBURN |
Credential | DNP ARNP PMHNP-BC |
Practice Address |
2630 Central Ave # 3349 Eielson Afb AK 99702 |
Mailing Address |
2352 Birch St Unit C Eielson Afb AK 99702-1125 |
Practice Telephone | 9073777999 |
Mailing Telephone | 5417404448 |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN60318011 | WA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60971569 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
10404 N Woodridge Dr, Spokane, WA 992088928 | 5417404448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639420888 | Andrew Charles Colburn | Emergency Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-09-27 |
Street Address |
2630 CENTRAL AVE # 3349 |
City | EIELSON AFB |
State | AK |
Zip Code | 99702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174864904 | Eric Noll | Optometrist | 2630 Central Ave # 3349, Eielson Afb, AK 99702 | 2013-03-04 |
1518586122 | Amanda Nichols | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2020-04-14 |
1891256939 | Alexandra Rene Giett | Dentist | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2019-03-29 |
1437505963 | Dayne Kawika Bonzo | General Practice | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2016-05-13 |
1730541038 | Matthew Robert Kramer | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2016-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
1780875617 | Victoria L Ketchum | Specialist | E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 | 2007-08-06 |
1689768103 | Angie M. Walker | Social Worker | 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 | 2006-10-02 |
1306945464 | 354th Medical Group Mdg | Military/U.S. Coast Guard Pharmacy | Bldg 3349 Central Ave, Eielson Afb, AK 99702 | 2006-09-22 |
1760442297 | Susan Mary Runyan | Dietitian, Registered | 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 | 2006-03-27 |
1952885121 | Anthony Ewell-kollmann | Dentist | 2630 Central Ave, Eielson Afb, AK 99702 | 2018-09-24 |
1306375704 | Robert Marshall Walter | Dentist | 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 | 2017-06-08 |
1063612299 | Larry Kroll | Psychologist | 2630 Central Ave, 354 Mdos/sgoh, Eielson Afb, AK 99702 | 2007-07-25 |
Find all providers in zip 99702 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366062903 | Eagle River Behavioral Health, LLC | Nurse Practitioner | 13125 Curry Ridge Cir, Eagle River, AK 99577-6730 | 2020-04-23 |
1760017123 | Sara Rottman | Nurse Practitioner | 2210 Sentry Dr Apt 14, Anchorage, AK 99507-5353 | 2020-03-05 |
1104464460 | David Ampong | Nurse Practitioner | 1577 C St Ste 204, Anchorage, AK 99501-5164 | 2019-12-18 |
1316597412 | Jennifer Byers Anp LLC | Nurse Practitioner | 1689 S Knik Goose Bay Rd Ste 700, Wasilla, AK 99654-8088 | 2019-09-19 |
1538720404 | Deanna Mae Casiano | Nurse Practitioner | 14460 E Pace Dr, Palmer, AK 99645-9964 | 2019-06-21 |
1154897429 | Kristerra Nicole Yawea | Nurse Practitioner | 2440 E Tudor Rd # 384, Anchorage, AK 99507-1185 | 2018-10-15 |
1982187399 | Sara A Lindsoe | Nurse Practitioner | 8136 White Dr, Anchorage, AK 99507-6046 | 2018-09-11 |
1245753656 | Richard Crisostomo | Nurse Practitioner | 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654-7242 | 2017-07-18 |
1609326594 | Virginia Walker | Nurse Practitioner | 3211 Providence Drive Rh Ste 116, University of Alaska Anchorage Student Health & Councel, Anchorage, AK 99508 | 2016-10-04 |
1922553726 | Adriana Maria Hernandez | Nurse Practitioner | 2405 S Knik Goose Bay Rd, Ste A, Wasilla, AK 99654-9965 | 2016-08-22 |
Find all providers with the same taxonomy |
City | EIELSON AFB |
Zip Code | 99702 |
Please comment or provide details below to improve the information on DR. ANDREW JOSEPH COLBURN.
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.