NPI 1730665449 · live from the CMS NPI Registry
Dusty Marie Colburn, APRN
Nurse Practitioner, Pediatrics in Fort Smith, AR. National Provider Identifier 1730665449, active.
NPI record
| NPI | 1730665449 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4900 Kelley Hwy, Fort Smith, AR 72904 |
| Practice phone | 479-785-5700 |
| Enumerated | July 16, 2018 |
| Last updated | May 1, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | A005776 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.