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Individual

KIRSTEN SUZANNE KOFFARNUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, CPNP, APNP

Contact information

Practice address
1000 EDGEWOOD COLLEGE DR, EDGEWOOD COLLEGE HEALTH CENTER, MADISON, WI 53711-1997
(608) 663-8334
(608) 663-3394
Mailing address
1000 EDGEWOOD COLLEGE DR, EDGEWOOD COLLEGE HEALTH CENTER, MADISON, WI 53711-1997
(608) 663-8334
(608) 663-3394

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4096-33
WI

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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