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Individual

IRENE KOLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
164 SUMMIT AVE, FAIN 3RD FLOOR, PROVIDENCE, RI 02906-2853
(401) 793-2920
(401) 793-2859
Mailing address
164 SUMMIT AVE, FAIN 3RD FLOOR, PROVIDENCE, RI 02906-2853
(401) 793-2920
(401) 793-2859

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP00149
RI

Other

Enumeration date
12/15/2006
Last updated
08/11/2010
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