Individual
COLLEEN KOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1716 W MARINE VIEW DR STE C, EVERETT, WA 98201-2098
(425) 259-0212
Mailing address
12719 47TH DR NE, MARYSVILLE, WA 98271-8634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61192894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61192894
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
F06211752
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
Enumeration date
05/15/2022
Last updated
05/15/2022
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