Individual
KAREN MARIE KOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
ONE HOAG DRIVE, BLDG 41, 3RD FLOOR, HOAG MEDICAL ONCOLOGY CLINIC, NEWPORT BEACH, CA 92663-4162
(949) 764-6130
Mailing address
ONE HOAG DRIVE, BLDG 41, 3RD FLOOR, HOAG MEDICAL ONCOLOGY CLINIC, NEWPORT BEACH, CA 92663-4162
(949) 764-6130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95004521
CA
363LF0000X
Family Nurse Practitioner
95004521
CA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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