| Samantha Eileen Kolb, | |
| 
					1360 Elm St E, Saint Joseph, MN 56374-4694  | |
| (320) 363-7765 | |
| Not Available | 
| Full Name | Samantha Eileen Kolb | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1360 Elm St E, Saint Joseph, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003697947 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10852 (Minnesota) | Primary | 
| Entity Name | Centracare Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samantha Eileen Kolb, 7548 Landau Ave Ne, Otsego, MN 55301-4526 Ph: (952) 356-4629  | Samantha Eileen Kolb, 1360 Elm St E, Saint Joseph, MN 56374-4694 Ph: (320) 363-7765  | 
Emily J Rath, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 S. College Ave, Saint Joseph, MN 56374 Phone: 320-363-5605  | |
Mrs. Carol L Holton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37 College Ave South, Saint Joseph, MN 56374 Phone: 320-363-5605 Fax: 320-363-6396  | |
Mrs. Taylor Lynne Ricke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-7765  | |
Nancy Streng, P/MHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9213 Narcissus Rd, Saint Joseph, MN 56374 Phone: 320-363-0385  | |
Chase Jon Meyers, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 Elm St E, Saint Joseph, MN 56374 Phone: 320-363-7765  | |
Alexandra Marie Rieger, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 E Minnesota St Ste 107, Saint Joseph, MN 56374 Phone: 320-479-8500  |