Organization
KOA HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA BRITTAIN NP (NURSE PRACTITIONER)
(701) 330-5573
Entity
Organization
Contact information
Practice address
3120 142ND AVE NE, HAM LAKE, MN 55304-6842
(701) 330-5573
Mailing address
11468 MARKETPLACE DR N STE 600-1248, CHAMPLIN, MN 55316-3872
(701) 330-5573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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