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Individual

MRS. TARA ROCHELLE KOLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
DEM-LD-10163507
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
63727
NM

Other

Enumeration date
07/09/2014
Last updated
08/06/2026
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