Individual
NATALIE JOY KOLLASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1669 W INA RD STE 141, TUCSON, AZ 85704
(520) 795-6183
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(520) 751-3675
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP8627
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141537
—
AZ
Enumeration date
04/12/2016
Last updated
09/16/2021
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