Individual
JILL M KOEVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 FOOTHILL BLVD, GEORGE E. WAHLEN VA HEALTHCARE SYSTEM, SALT LAKE CITY, UT 84148
(801) 582-1565
Mailing address
GEORGE E WAHLEN VA HEALTHCARE SYSTEM, 500 FOOTHIL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213999-3102
UT
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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