Individual
MORGAN R KOFFKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232618
WI
363L00000X
Nurse Practitioner
Primary
11045
WI
363LF0000X
Family Nurse Practitioner
11045-33
WI
Other
Enumeration date
06/02/2021
Last updated
07/18/2023
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