Individual provider · Type 1 NPI
Kelsey Raffaela Koetzner, FNP
Family Nurse Practitioner · Lindenhurst, NY
NPI number
1194580480
Active
Practice location
152 N Wellwood Ave Ste 3
Lindenhurst, NY 11757-4091
Mailing address
25 Carolyn Ct
Amityville, NY 11701-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F353370-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194580480
Kelsey Raffaela Koetzner, FNP's National Provider Identifier is 1194580480, issued on Feb 16, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lindenhurst, NY. The record was last updated on Feb 16, 2024.