Individual
CYNTHIA J KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
(701) 234-4385
Mailing address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 234-4445
(701) 234-4385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R24477
ND
Other
Enumeration date
07/22/2006
Last updated
09/12/2008
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