NPI Registry.org

Colleen Koorn

NPI Registration Record

Provider / OrganizationNPIDate Certified
COLLEEN KOORN10237557742022-05-15

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 TypeIndividual
Provider Name Colleen Koorn ARNP
Other Provider Name Colleen Mack
Practice Office Address1716 W MARINE VIEW DR STE C
EVERETT, WA US
Practice Office Telephone4252590212
Mailing Address12719 47TH DR NE
MARYSVILLE, WA 982718634 US
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess 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
OPI Codes
AP61192894 OTHER WA WASHINGTON STAT
F06211752 OTHER AMERICAN ACADEM
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