Individual provider · Type 1 NPI
Raisa Mary Colon, NP
Obstetrics & Gynecology Nurse Practitioner · Augusta, GA
NPI number
1104582931
Active
Practice location
2467 Golden Camp Rd
Augusta, GA 30906-5515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | GAA-NP000359 (GA) |
| Primary Care Nurse Practitioner | 363LP2300X | NP000359 (GA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1104582931
Raisa Mary Colon, NP's National Provider Identifier is 1104582931, issued on Nov 16, 2021. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Augusta, GA. The record was last updated on Oct 9, 2025.