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Individual
RENEE LYNN JOHNSON KOTLARZ
Active
Individual
RENEE LYNN JOHNSON KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PHN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R1378197
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9763
MN
Other
Enumeration date
01/08/2010
Last updated
11/30/2022
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