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Individual
MRS. PAMELA SIEBER KOLP
Active
Individual
MRS. PAMELA SIEBER KOLP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002594
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230002594CT01
HUSKY B
—
01
—
259400
CONNECTICARE
—
01
—
2V6555
HEALTHNET
—
01
—
400002594CT01
ANTHEM BLUE CROSS
—
Enumeration date
09/29/2006
Last updated
07/08/2007
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