Individual
MS. SANDRA LYNN KOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
109 FAIRWAY ST, ZUMBROTA, MN 55992
(207) 298-0866
Mailing address
109 FAIRWAY ST, ZUMBROTA, MN 55992
(207) 298-0866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1396043
MN
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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