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Mark E Koivula, FNP-C
Family Nurse Practitioner in Bottineau, North Dakota
NPI 1265660740

Mark E Koivula is a Family Nurse Practitioner based in Bottineau, ND and is specialized in Family. Mark E Koivula practices in Bottineau, ND and has the professional credentials of FNP-C. The NPI Number for Mark E Koivula is 1265660740 and holds a License No. R26131 (North Dakota).

The current practice location address for Mark E Koivula is 516 Main St, Bottineau, ND and can be reached out via phone at 701-534-0109 and via fax at 866-640-0723.

Location: 516 Main St, Bottineau, ND, 58318-0401
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Provider Profile Details
NPI Number
1265660740
Provider Name
Mark E Koivula
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
516 Main St, Bottineau, ND, 58318-0401
Phone Number
701-534-0109
Fax Number
866-640-0723
Provider Enumeration Date
06/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R26131 01 ND ND FNP LICENSE #
1454625 05 ND
institution
Provider Business Practice Location Address Details
Address
516 Main St
City
State
Zip
58318-1203
Phone Number
701-534-0109
Fax Number
866-640-0723
person
Provider Business Mailing Address Details
Address
516 Main St
City
State
Zip
58318-1203
Phone Number
701-534-0109
Fax Number
866-640-0723
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R26131 (North Dakota)
Definition
Definition to come...
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