Individual provider · Type 1 NPI

Mary Koenen, F.N.P.

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1184777682 Active

About NPI 1184777682

Mary Koenen, F.N.P.'s National Provider Identifier is 1184777682, issued on Jan 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.