Ms Gloria Jean Koeppen, LPN is a
Licensed Practical Nurse based in Howards Grove, Wisconsin. Ms Gloria Jean Koeppen is licensed to practice in Wisconsin (license number 14934-31) and her current practice location is
1216 Longfellow Ave, Howards Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 565-2553.
NPI number for Ms Gloria Jean Koeppen is 1417223496 and her current mailing address is 1216 Longfellow Ave, Howards Grove, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417223496.
Provider's Profile
Full Name | Ms Gloria Jean Koeppen |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1216 Longfellow Ave, Howards Grove, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417223496
- Provider Enumeration Date: 03/23/2012
- Last Update Date: 03/23/2012
Medical Identifiers
Medical identifiers for Ms Gloria Jean Koeppen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417223496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 14934-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gloria Jean Koeppen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Gloria Jean Koeppen, LPN 1216 Longfellow Ave, Howards Grove, WI 53083-1352 Ph: (920) 565-2553 | Ms Gloria Jean Koeppen, LPN 1216 Longfellow Ave, Howards Grove, WI 53083-1352 Ph: (920) 565-2553 |
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