Colburn, Mary
Colburn, Mary is an sole proprietor health care provider with primary practice located at 850 N Main Street Ext , Wallingford CT 06492-2400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Colburn, Mary can be contacted via phone (203) 626-4203.Contact Information
Primary practice address
850 N Main Street Ext
Wallingford CT 06492-2400
Phone: (203) 626-4203
Fax: (203) 626-1624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 007605 | Connecticut |
Profile Details
| NPI number | 1679066948 |
|---|---|
| LBN Legal business name | Colburn, Mary |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2018 |
| Last updated | Dec 16th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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