Provider Demographics
NPI:1457427734
Name:KOLLE, BARBARA (CRNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:KOLLE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MERIDIAN BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3202
Mailing Address - Country:US
Mailing Address - Phone:610-372-4957
Mailing Address - Fax:610-372-3117
Practice Address - Street 1:555 RAYMOND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-3149
Practice Address - Country:US
Practice Address - Phone:610-921-1111
Practice Address - Fax:610-921-2419
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP005798D208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics