Doctor Name: | MRS. AIDAN DAWN O'NEIL KOLBE |
NPI Number: | 1821308255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN280859 |
Business Practice Address: | 146 Hudson Rd Bolton, MA - 017401444 |
Business Phone Number: | 9787796262 |
Business Fax Number: | 9787796264 |
Mailing Address: | P.o. Box 370, BOLTON |
State: | MA |
Postal Code: | 017401444 |
Phone Number: | 9787796262 |
Fax Number: | 9787796264 |
NPI Enumeration Date: | 10/19/2010 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN280859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |