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Mr. Duane Oliver Koivisto, LPN
Licensed Practical Nurse in Stillwater, Minnesota
NPI 1770876187

Duane Oliver Koivisto is a Licensed Practical Nurse based in Minneapolis, MN. Duane Oliver Koivisto practices in Stillwater, MN and has the professional credentials of LPN. The NPI Number for Duane Oliver Koivisto is 1770876187 and holds a License No. L 63350-3 (Minnesota).

The current practice location address for Duane Oliver Koivisto is 11400 Julianne Ave N, Stillwater, MN and can be reached out via phone at 651-426-3300 and via fax at 651-426-0419.

Location: 11400 Julianne Ave N, Stillwater, MN, 55404-4368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770876187
Provider Name
Duane Oliver Koivisto
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
11400 Julianne Ave N, Stillwater, MN, 55404-4368
Phone Number
651-426-3300
Fax Number
651-426-0419
Provider Enumeration Date
05/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11400 Julianne Ave N
City
Stillwater
State
Minnesota
Zip
55082-9436
Phone Number
651-426-3300
Fax Number
651-426-0419
person
Provider Business Mailing Address Details
Address
11400 Julianne Ave N
City
Stillwater
State
Minnesota
Zip
55082-9436
Phone Number
651-426-3300
Fax Number
651-426-0419
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L 63350-3 (Minnesota)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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