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NPI Code Detail

MEDICARE: CYNTHIA J KOENIG NP

MEDICARE:   CYNTHIA J KOENIG  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerR24477ND

General Provider Information

NPI Number : 1710908942
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA J KOENIG NP
Provider Business Mailing Address
First Line : 1220 SHEYENNE ST
Second Line :
City : WEST FARGO
State : ND
Zip : 58078-2637
Country : US
Telephone Number : 701-234-4445
Fax Number : 701-234-4385
Provider Business Practice Location Address
First Line : 1220 SHEYENNE ST
Second Line :
City : WEST FARGO
State : ND
Zip : 58078-2637
Country : US
Telephone Number : 701-234-4445
Fax Number : 701-234-4385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 09/12/2008

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Directions to “ CYNTHIA J KOENIG NP” Practice Location

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