MRS. JOAN MARIE KOTILA APRN CNP NPI 1700399649

NPI Information

NPI: 1700399649
Provider Name: MRS. JOAN MARIE KOTILA, APRN CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
251 COUNTY ROAD 120
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 202-8949
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MRS. Joan Marie Kotila, APRN CNP is a family nurse practitioner in Saint Cloud, MN with 7 years of experience. MRS. Joan Marie Kotila, APRN CNP NPI is 1700399649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

251 COUNTY ROAD 120
SAINT CLOUD, MN
ZIP 56303-872
Phone: (320) 202-8949
Fax: (320) 257-1733

The NPI 1700399649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		2019769	MINNESOTA	No
2	363LF0000X	Nurse Practitioner	Family	5273	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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