Healthcare Provider Details

I. General information

NPI: 1902379613
Provider Name (Legal Business Name): KARRON LEIGH COHOON APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARRON LEIGH GILMER KARRON GILMER, RN

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MAIN ST
SANDSTONE MN
55072-4410
US

IV. Provider business mailing address

501 MAIN ST
SANDSTONE MN
55072-4410
US

V. Phone/Fax

Practice location:
  • Phone: 320-372-2323
  • Fax:
Mailing address:
  • Phone: 320-372-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9121
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCP002428
License Number StateSD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10273
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCP002428
License Number StateSD
# 5
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number8964
License Number StateWI
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number10273
License Number StateMN
# 7
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1218882
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: