person
Mikaela Rose Koivisto
Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma
NPI 1336991538

Mikaela Rose Koivisto is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, OK. Mikaela Rose Koivisto practices in Oklahoma City, OK. The NPI Number for Mikaela Rose Koivisto is 1336991538 and holds a License No. (Oklahoma).

The current practice location address for Mikaela Rose Koivisto is 4401 S Western Ave, Oklahoma City, OK and can be reached out via phone at 405-834-4573.

Location: 4401 S Western Ave, Oklahoma City, OK, 73130-6508
person
Provider Profile Details
NPI Number
1336991538
Provider Name
Mikaela Rose Koivisto
Credential
Provider Entity Type
Individual
Gender
Female
Address
4401 S Western Ave, Oklahoma City, OK, 73130-6508
Phone Number
405-834-4573
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4401 S Western Ave
City
State
Zip
73109-3413
Phone Number
405-834-4573
Fax Number
person
Provider Business Mailing Address Details
Address
4401 S Western Ave
City
State
Zip
73109-3413
Phone Number
405-834-4573
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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