Individual
MRS. TARA ROCHELLE KOLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
6801 JEFFERSON ST NE STE 350, ALBUQUERQUE, NM 87109-4361
(505) 847-4100
Mailing address
1718 MENAUL BLVD NW, ALBUQUERQUE, NM 87107-1030
(505) 249-7592
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
08/06/2025
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