Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Alice Colburn, ANP-C

Individual provider Adult Health Nurse Practitioner · NPI 1356598890

Susan Alice Colburn, ANP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2008
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Practice location Address checks out

5000 Manchester Ave
Saint Louis, MO 63110-2012
Phone: (314) 747-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 125713 (MO)

Record details

NPI number1356598890
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C
Sole proprietorYes
NPI enumeratedAugust 27, 2008
Last updated in NPPESAugust 27, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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