Andrew Joseph Colburn, DNP ARNP PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Offutt Afb, NE
NPI 1972166916 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1972166916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60971569 (WA)
- Practice address
- 2501 Capehart Rd
Offutt Afb, NE 68113-1043 - Phone
- (402) 294-7411
- NPI assigned
- Apr 16, 2019
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60318011 | WA | MD | Psychiatric/Mental Health Registered Nurse |
| AP60971569 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN60318011 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60971569 | WA | Yes |
Addresses
Primary practice location
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Other providers in Offutt Afb, NE
- Chad Bryan Carter
- Jocelin P Cartier
- Tawnee Marie Chandler
- Justin Jeremiah Chin
- Coleman Kord Christensen
- Jessica Manton Cole
- Christian Fletcher Cooper
- Shauna G Crim
- Kwame A Curtis
- Mariah Davis
All providers in Offutt Afb, NE · Psychiatric/Mental Health Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.