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Individual
ERIN KOOIMA
Active
Individual
ERIN KOOIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
11917
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
11917
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013652130
—
WI
Enumeration date
05/03/2022
Last updated
04/09/2024
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