Individual provider · Type 1 NPI

Mary B. Koolmo, APRN, CNP

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1821182296 Active

Practice location

347 Smith Ave N, Ms 70-302
St. Paul, MN 55102-2387

Call (651) 220-6728 Map

Fax (651) 220-5231

Mailing address

347 N. Smith Ave., Ms 70-302
St. Paul, MN 55102

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XR44402 (NM)
Pediatric Nurse Practitioner Primary 363LP0200XR119628-5 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821182296

Mary B. Koolmo, APRN, CNP's National Provider Identifier is 1821182296, issued on Oct 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Sep 23, 2014.