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Koa Health Pllc
Family Nurse Practitioner in Ham Lake, Minnesota
NPI 1508543919

Koa Health Pllc is a Family Nurse Practitioner based in Champlin, MN and is specialized in Family. Koa Health Pllc practices in Ham Lake, MN. The NPI Number for Koa Health Pllc is 1508543919 and holds a License No. (Minnesota).

The current practice location address for Koa Health Pllc is 3120 142Nd Ave Ne, Ham Lake, MN and can be reached out via phone at 701-330-5573.

Location: 3120 142Nd Ave Ne, Ham Lake, MN, 55316-3872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508543919
Provider Name
Koa Health Pllc
Credential
Provider Entity Type
Organization
Address
3120 142Nd Ave Ne, Ham Lake, MN, 55316-3872
Phone Number
701-330-5573
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3120 142Nd Ave Ne
City
Ham Lake
State
Minnesota
Zip
55304-6842
Phone Number
701-330-5573
Fax Number
person
Provider Business Mailing Address Details
Address
3120 142Nd Ave Ne
City
Ham Lake
State
Minnesota
Zip
55304-6842
Phone Number
701-330-5573
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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