| Doctor Name: | ALISHA MAE COLBY-TIMM |
| NPI Number: | 1154770998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CNP 4554 |
| Business Practice Address: | 10 4th Ave Se Glenwood, MN - 563341820 |
| Business Phone Number: | 3206345157 |
| Business Fax Number: | |
| Mailing Address: | 2703 Rambow Ln Se, ALEXANDRIA |
| State: | MN |
| Postal Code: | 563089283 |
| Phone Number: | 3207660011 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2016 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP 4554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |