Individual
DR. HEIDI ANN KOSLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1330
AK
363LF0000X
Family Nurse Practitioner
Primary
240292
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153019
—
AZ
Enumeration date
10/03/2012
Last updated
04/06/2026
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