Individual
RENEE LYNN JOHNSON KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, PHN, PMHNP-BC
Contact information
Practice address
114 MAIN ST N STE 201B, HUTCHINSON, MN 55350-1819
(320) 752-0778
(320) 753-0779
Mailing address
114 MAIN ST N STE 201B, HUTCHINSON, MN 55350-1819
(320) 752-0778
(320) 753-0779
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
R1378197
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9763
MN
Other
Enumeration date
01/08/2010
Last updated
11/30/2022
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