Individual
MS. CAROLYN R KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
802 AINSWORTH DR STE A, PRESCOTT, AZ 86301-1623
(928) 445-6025
(928) 777-2423
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7144
AZ
363LA2200X
Adult Health Nurse Practitioner
288
AZ
363LA2200X
Adult Health Nurse Practitioner
NP854A
ID
Other
Enumeration date
07/16/2006
Last updated
06/26/2019
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