NPI 1033563325

Nikole Lee Koehn, MATRGATC

Practitioner Specialist Fargo, ND

Practice location

Address: 2301 25th St S, Fargo, ND 58103
Phone: (701) 417-6000
Mailing address: 4551 47th Ave. South APT. 103, Fargo, ND 58103

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2747 (MN)

Other Specialist providers in North Dakota →

Specialist

Other Service Providers Taxonomy 174400000X Licence 697-15 (ND)

Registry record

NPI: 1033563325
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2016
Record last updated: 22 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.