Individual provider · Type 1 NPI
Tracy Lynn Koltun, RN
Home Health Registered Nurse · Mequon, WI
NPI number
1316214901
Active
Practice location
11120 N Range Line Rd
Mequon, WI 53092-4931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 166720030 (WI) |
Home Health Registered Nurse: Definition to come...
Other home health registered nurse providers in Mequon
About NPI 1316214901
Tracy Lynn Koltun, RN's National Provider Identifier is 1316214901, issued on Nov 26, 2011. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Mequon, WI. The record was last updated on Nov 26, 2011.