Mariah D. Colbert, RN

Individual provider Active NPI Infection Control Registered Nurse · Spencer, OK

NPI 1467033449 · NPPES record last updated Apr 20, 2021

Key facts

NPI
1467033449
Entity type
Individual (NPI type 1)
Primary specialty
Infection Control Registered Nurse 163WI0600X
License
R0128541 (OK)
Practice address
12716 NE 36TH St
Spencer, OK 73084-9167
Phone
(405) 769-3301
Fax
(405) 769-9685
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0128541OKMDInfection Control Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X R0128541 OK Yes

Addresses

Primary practice location

12716 NE 36TH St
Spencer, OK 73084-9167

Mailing address

PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301

Other providers in Spencer, OK

All providers in Spencer, OK · Infection Control Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.