Most Relevant Information
Provider Data
| NPI Number: | 1003697947 |
| Provider Name: | SAMANTHA EILEEN KOLB |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10852 |
Most Important Dates
| Enumeration Date: | 10/06/2023 |
| Last Updated: | 12/12/2023 |
Provider Practice Location
1360 ELM ST E
SAINT JOSEPH
MN
563744694
Practice Location Phone/Fax
| Phone: | 3203637765 |
| Fax: |
Provider Mailing Location
7548 LANDAU AVE NE
OTSEGO
MN
553014526
Provider Mailing Phone/Fax
| Phone: | 9523564629 |
| Fax: |