Individual
NATHAN ANDREW KOPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6936 PINE ARBOR DR S, COTTAGE GROVE, MN 55016-4645
(651) 326-5800
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5651
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
5651
MN
363LP2300X
Primary Care Nurse Practitioner
5651
MN
Other
Enumeration date
11/19/2017
Last updated
09/20/2024
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