Healthcare Provider Details
I. General information
NPI: 1023753530
Provider Name (Legal Business Name): SARAH DAWNELL KOLBE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/28/2022
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
897 IRONWOOD DR
MINDEN NV
89423-5198
US
IV. Provider business mailing address
990 LILAC CT
MINDEN NV
89423-5131
US
V. Phone/Fax
- Phone: 775-782-1610
- Fax:
- Phone: 775-233-2013
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: