Julie Antonette Koob, LPN
Individual provider Active NPI Licensed Practical Nurse · Vail, AZ
NPI 1992123152 · NPPES record last updated Apr 3, 2014
Key facts
- NPI
- 1992123152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 27069194A (IN)
- Practice address
- 1990 N Calle Rinconado
Vail, AZ 85641-9328 - Phone
- (520) 286-5707
- NPI assigned
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27069194A | IN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27069194A | IN | Yes |
Addresses
Primary practice location
1990 N Calle Rinconado
Vail, AZ 85641-9328
Mailing address
1990 N Calle Rinconado
Vail, AZ 85641-9328
Phone (520) 286-5707
Other providers in Vail, AZ
- Heather L Kinder
- Kinetix Spine and Joint
- Jennifer Braden Kirkpatrick
- Loreen Ann Kleinberg
- Marilyn Klensin-Montrose
- Peggie Jeanne Krause-Pittenridge
- Natalie Su-Man Kwok
- L & L Medical Services, LLC
- Lauren Impraim Counseling, LLC
- Natalia Leon
All providers in Vail, AZ · Licensed Practical Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.