Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THEODORA COLBURN, BA BS RN
Active Sole ProprietorMRS. THEODORA COLBURN, BA BS RN is a 163WM1400X healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1508111964 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · JAMAICA PLAIN, MA
Registration Details
- NPI Number
- 1508111964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2012 (14.110158722296 yrs)
- Last Updated
- Jul 20, 2012
- Licenses
-
RN118502 (MA)RN118502 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
38 OLMSTEAD STJAMAICA PLAIN, MA, 021302910Browse MA providers · Browse ZIP 02130
- Phone
- 6175141515
- Fax
- 6170835610
- Primary Specialty
-
163WM1400X
163WM1400X
- Additional Specialty
- Rehabilitation Clinical Nurse Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.