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
RNP294590
AZ
Other
Enumeration date
04/04/2023
Last updated
07/10/2023
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