Samantha Eileen Kolb, | |
1360 Elm St E, Saint Joseph, MN 56374-4694 | |
(320) 363-7765 | |
Not Available |
Full Name | Samantha Eileen Kolb |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1360 Elm St E, Saint Joseph, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003697947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10852 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
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Samantha Eileen Kolb, 7548 Landau Ave Ne, Otsego, MN 55301-4526 Ph: (952) 356-4629 | Samantha Eileen Kolb, 1360 Elm St E, Saint Joseph, MN 56374-4694 Ph: (320) 363-7765 |
Emily J Rath, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 S. College Ave, Saint Joseph, MN 56374 Phone: 320-363-5605 | |
Mrs. Carol L Holton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 College Ave South, Saint Joseph, MN 56374 Phone: 320-363-5605 Fax: 320-363-6396 | |
Mrs. Taylor Lynne Ricke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-7765 | |
Nancy Streng, P/MHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9213 Narcissus Rd, Saint Joseph, MN 56374 Phone: 320-363-0385 | |
Susan A. Heying, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-1745 Fax: 320-363-0031 |