Michelle Tracy Koenig
Nurse Practitioner - Pediatrics
2220 Riverside Ave
Minneapolis
, Minnesota 55454-1321
Michelle Tracy Koenig
Nurse Practitioner - Pediatrics
2220 Riverside Ave
Minneapolis
, Minnesota 55454-1321
(612) 341-5100
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Michelle Tracy Koenig
- 2220 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1321
- Phone : (612) 341-5100
Second Address
- Michelle Tracy Koenig
- 2220 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1321
- Phone : (612) 341-5100
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | CNP0364 | MN |
National Provider Identifier
| NPI | 1023402658 |
|---|---|
| Provider Name | Michelle Tracy Koenig |
| First Address | Minneapolis, MN 55454-1321 |
| Second Address | Minneapolis, MN 55454-1321 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2015 |
| Last Update Date | 20/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.