Individual
SHANNON MARIE KOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1313
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1313
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6787
MN
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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