Individual
MRS. NATASHA M KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2749 E CARRERA CT, GREEN BAY, WI 54311-7278
(920) 471-3902
Mailing address
2749 E CARRERA CT, GREEN BAY, WI 54311-7278
(920) 471-3902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4491-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427338730
—
WI
Enumeration date
08/18/2011
Last updated
02/09/2016
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