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Mary Koenen, F.N.P
NPI 1184777682 · on the registry since 2007
Practice
- Address
- 72 Sheldon Blvd Se
Grand Rapids, MI 49503 - Phone
- (616) 988-8774
- Fax
- (616) 988-8775
- Organisation at this address
- Grand Valley State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan