Provider Demographics
NPI:1255468971
Name:KOLP, PATTI J (RN)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:J
Last Name:KOLP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 TASHA DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1222
Mailing Address - Country:US
Mailing Address - Phone:727-785-5268
Mailing Address - Fax:727-785-5268
Practice Address - Street 1:2770 TASHA DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-1222
Practice Address - Country:US
Practice Address - Phone:727-785-5268
Practice Address - Fax:727-785-5268
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN1116132163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics