Individual provider · Type 1 NPI

Joan Marie Kotila, APRN CNP

Family Nurse Practitioner · St. Cloud, MN

NPI number 1700399649 Active

Practice location

251 County Road 120
St. Cloud, MN 56303-4872

Fax (320) 257-1733

Mailing address

Centracare Clinic St Cloud Medical Group Northwest, 251 County Road 120
St. Cloud, MN 56303-4872

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2019769 (MN)
Family Nurse Practitioner Primary 363LF0000X5273 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1700399649

Joan Marie Kotila, APRN CNP's National Provider Identifier is 1700399649, issued on Nov 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 14, 2017.