Individual
MICHAEL RICHARD KOLODGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP, B-C
Contact information
Practice address
575 S DUPONT HWY, NEW CASTLE, DE 19720-4606
(302) 328-3330
(302) 220-4015
Mailing address
240 N JAMES ST, STE 200, NEWPORT, DE 19804-3171
(302) 543-4425
(302) 543-5124
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0000182
DE
Other
Enumeration date
07/03/2019
Last updated
12/15/2020
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