Individual provider · Type 1 NPI

Constance Kooistra

Licensed Practical Nurse · Merritt Island, FL

NPI number 1548441306 Active

Practice location

2575 N Courtenay Pkwy
Merritt Island, FL 32953-4126

Call (321) 639-5787 Map

Fax (321) 639-5762

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN772721 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1548441306

Constance Kooistra's National Provider Identifier is 1548441306, issued on Nov 21, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Merritt Island, FL. The record was last updated on Nov 21, 2007.