MEDICARE: NAOMI KOLB FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NUR-APRN-LIC-286812	MT

General Provider Information

NPI Number	:	1396698031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI KOLB FNP-BC

Provider Business Mailing Address
First Line	:	2835 FORT MISSOULA RD STE 102
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2835 FORT MISSOULA RD STE 102
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59804-7424
Country	:	US
Telephone Number	:	406-542-0391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	03/02/2026

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