IndividualActive
Clover Colonel, R.N.
NPI 1831346964 · Prosthetic/Orthotic Supplier · Burlington, NC
Provider details
- NPI number
- 1831346964
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
- Orthotic Fitter225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1040 S Church St
Burlington, NC 27215-5046
Phone: (336) 222-8052
Fax: (336) 222-8091
Approximate (ZIP-level) locationGet directions
Mailing address
1040 S Church St
Burlington, NC 27215-5046
Registry dates
- Enumerated
- 2008-08-20
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.