NPI 1760344113

Jennifer N Koenig, TRADITIONALMIDWIFE

Practitioner Lay Midwife Ham Lake, MN

Practice location

Address: 13920 Yancy St NE, Ham Lake, MN 55304-7143
Phone: (952) 220-3408

Registered specialties

Lay Midwife Primary

Other Service Providers Taxonomy 175M00000X

Other Midwife, Lay providers in Minnesota →

Registry record

NPI: 1760344113
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Nov 2025
Record last updated: 24 Nov 2025

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.