Provider Demographics
NPI:1366451965
Name:KOLB, ERIN MEGAN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MEGAN
Last Name:KOLB
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 LOCUST ST STE 108
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2003
Mailing Address - Country:US
Mailing Address - Phone:413-586-0769
Mailing Address - Fax:413-584-0392
Practice Address - Street 1:269 LOCUST ST STE 108
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-2003
Practice Address - Country:US
Practice Address - Phone:413-586-0769
Practice Address - Fax:413-584-0392
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA269210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily