Individual
JULIE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
PO BOX 543, MARS, PA 16046-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN704036
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
141409
NC
Other
Enumeration date
01/19/2020
Last updated
03/01/2023
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