Individual provider · Type 1 NPI

Michelle Tracy Koenig, DNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1023402658 Active

Practice location

2220 Riverside Ave
Minneapolis, MN 55454-1321

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XCNP0364 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1023402658

Michelle Tracy Koenig, DNP's National Provider Identifier is 1023402658, issued on Mar 20, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 20, 2015.