Basic Information
| Provider Information | |||||||||
| NPI: | 1518237767 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COLTON-SPINA | ||||||||
| FirstName: | JILL | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | NP, RN | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | COLTON-SPINA | ||||||||
| OtherFirstName: | JILL | ||||||||
| OtherMiddleName: | ANN | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | PMHNP | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 32 YORK STREET | ||||||||
| Address2: | PSYCHIATRY ASSOCIATES OF YORK HOSPITAL | ||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 03909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073513960 | ||||||||
| FaxNumber: | 2073513963 | ||||||||
| Practice Location | |||||||||
| Address1: | 32 YORK STREET | ||||||||
| Address2: | PSYCHIATRY ASSOCIATES OF YORK HOSPITAL | ||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 03909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073513960 | ||||||||
| FaxNumber: | 2073513963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2012 | ||||||||
| LastUpdateDate: | 11/01/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN38344 | ME | N | Nursing Service Providers | Registered Nurse | 363LP0808X | CNP111116 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.