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Individual

MRS. LAUREEN C KOEHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
812 HUBS REC RD, BELHAVEN, NC 27810-9336
(252) 944-3690
(252) 359-5328
Mailing address
812 HUBS REC RD, BELHAVEN, NC 27810-9336
(252) 944-3690
(252) 359-5328

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005288
NC
363LF0000X
Family Nurse Practitioner
5005288
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063184182
ORGANIZATION NPI HOUSE CALLS, LLC
NC
01
172YM
BCBS OF NC
NC
01
1730460064
PERSONAL NPI NUMBER
NC
05
1730460064
NC
01
NC5807E
MEDICARE
NC
Enumeration date
08/31/2011
Last updated
10/18/2023
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