Healthcare Provider Details

I. General information

NPI: 1386301257
Provider Name (Legal Business Name): JOELLA KATE KORPI DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2021
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 2ND AVE S
BUFFALO MN
55313-1211
US

IV. Provider business mailing address

2200 NW 26TH ST
OWATONNA MN
55060-5503
US

V. Phone/Fax

Practice location:
  • Phone: 906-869-4623
  • Fax:
Mailing address:
  • Phone: 507-451-1120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8786
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number8786
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: