Provider Demographics
NPI:1417745787
Name:KOSKI, JULIE LOUISE (RN)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LOUISE
Last Name:KOSKI
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 RESERVATION RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HOVLAND
Mailing Address - State:MN
Mailing Address - Zip Code:55606-2155
Mailing Address - Country:US
Mailing Address - Phone:218-310-8869
Mailing Address - Fax:
Practice Address - Street 1:515 5TH AVE W
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604-3017
Practice Address - Country:US
Practice Address - Phone:218-387-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1288685163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency