Kooistra, Constance

Kooistra, Constance is an individual health care provider with primary practice located at 2575 N Courtenay Pkwy , Merritt Island FL 32953-4126. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Kooistra, Constance can be contacted via phone (321) 639-5787.

Contact Information

Primary practice address
2575 N Courtenay Pkwy Merritt Island FL 32953-4126
Phone: (321) 639-5787
Fax: (321) 639-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN772721 Florida

Profile Details

NPI number 1548441306
LBN Legal business name Kooistra, Constance
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2007
Last updated Nov 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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