Individual
MS. RENEE DIANE KOEMPTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-9300
Mailing address
176 HAWES AVE, SHOREVIEW, MN 55126-6233
(651) 330-6313
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R1092266
MN
Other
Enumeration date
09/26/2006
Last updated
11/04/2019
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