| Doctor Name: | MISS KATRINA COLBOURNE |
| NPI Number: | 1497126221 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP/CNM |
| License Number: | ARNP9409101 |
| Business Practice Address: | 3001 W Hallandale Beach Blvd Suite 200 Hallandale, FL - 330095155 |
| Business Phone Number: | 9544564888 |
| Business Fax Number: | 9544569721 |
| Mailing Address: | 3001 W Hallandale Beach Blvd, Suite 200 HALLANDALE |
| State: | FL |
| Postal Code: | 330095155 |
| Phone Number: | 9544564888 |
| Fax Number: | 9544569721 |
| NPI Enumeration Date: | 10/20/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | ARNP9409101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |