Individual
JAIME KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E IRVINE RD, PHOENIX, AZ 85086-9319
(623) 205-1811
Mailing address
905 E IRVINE RD, PHOENIX, AZ 85086-9319
(623) 205-1811
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN128059
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
294590
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
RNP294590
AZ
Other
Enumeration date
04/04/2023
Last updated
05/18/2026
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