Provider / Organization | NPI | Date Certified |
---|---|---|
COLLEEN KOORN | 1023755774 | 2022-05-15 |
Colleen Koorn is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023755774. Registration indicates Colleen Koorn is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Colleen Koorn ARNP |
Other Provider Name | Colleen Mack |
Practice Office Address | 1716 W MARINE VIEW DR STE C EVERETT, WA US |
Practice Office Telephone | 4252590212 |
Mailing Address | 12719 47TH DR NE MARYSVILLE, WA 982718634 US |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP61192894
WA |
AP61192894 | OTHER | WA | WASHINGTON STAT |
F06211752 | OTHER | AMERICAN ACADEM |