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Mary Koogler, FNP ONC
NPI 1912908468 · on the registry since 2005
Practice
- Address
- 100 7th Street
Grottoes, VA 24441 - Phone
- (540) 249-5901
- Fax
- (540) 249-5902
- Organisation at this address
- South River Medical Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-14
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 Virginia