Individual
HEATHER KOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 771-1800
Mailing address
27 PARK ST, HYANNIS, MA 02601-5230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00729400
NJ
363L00000X
Nurse Practitioner
RN2262189
MA
363L00000X
Nurse Practitioner
SP015913
PA
Other
Enumeration date
02/16/2016
Last updated
07/12/2024
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