Individual provider · Type 1 NPI

Duane Oliver Koivisto, LPN

Licensed Practical Nurse · Stillwater, MN

NPI number 1770876187 Active

Practice location

11400 Julianne Ave N
Stillwater, MN 55082-9436

Fax (651) 426-0419

Mailing address

2532 1st Ave S, #104
Minneapolis, MN 55404-4368

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL 63350-3 (MN)

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 1770876187

Duane Oliver Koivisto, LPN's National Provider Identifier is 1770876187, issued on May 18, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stillwater, MN. The record was last updated on May 18, 2011.