Individual
DANA ANN KOLBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-4145
(574) 335-4146
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-4145
(574) 335-4146
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
71002187A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201017750
—
IN
Enumeration date
11/12/2010
Last updated
06/08/2011
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