MEDICARE: MS. VIVIEN KOLBER MS APRN-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	363LA2200X	Adult Health Nurse Practitioner	RN070002	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649275967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIVIEN KOLBER MS APRN-BC

Provider Business Mailing Address
First Line	:	3815 E BELL RD
Second Line	:	SUITE 4100
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2122
Country	:	US
Telephone Number	:	602-494-5040
Fax Number	:	602-494-4020

Provider Business Practice Location Address
First Line	:	3815 E BELL RD
Second Line	:	SUITE 4100
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2122
Country	:	US
Telephone Number	:	602-494-5040
Fax Number	:	602-494-4020

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	02/27/2013

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