Provider Demographics
NPI:1588705602
Name:KOEHN, DENISE EVIE (WHNP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:EVIE
Last Name:KOEHN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:275 FLODEN RD
Mailing Address - Street 2:
Mailing Address - City:GWINN
Mailing Address - State:MI
Mailing Address - Zip Code:49841-8750
Mailing Address - Country:US
Mailing Address - Phone:906-249-4368
Mailing Address - Fax:906-249-4368
Practice Address - Street 1:MARQUETTE COUNTY HEALTH DEPT.
Practice Address - Street 2:184 HWY 41 EAST
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866
Practice Address - Country:US
Practice Address - Phone:906-315-2630
Practice Address - Fax:906-475-4435
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704153224363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health