Individual
MS. JULIE A KOEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
38 UNION ST N, MORA, MN 55051-1326
(320) 679-1245
(763) 552-1268
Mailing address
501 4TH ST S, PRINCETON, MN 55371-2031
(763) 633-0648
(763) 633-7889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 160754-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 160754-1
RN
MN
Enumeration date
04/16/2008
Last updated
04/16/2008
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