SearchMinnesotaLicensed Practical Nurse

Duane Koivisto, LPN

NPI 1770876187 · on the registry since 2011

Practice

Address
11400 Julianne Ave N
Stillwater, MN 55082
Phone
(651) 426-3300
Fax
(651) 426-0419
Organisation at this address
Cedar Ridge, Inc
Cedar Ridge Treatment Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-18

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 Minnesota