MRS. MARY JO KOSZAREK NP
NPI 1487616363
Nurse Practitioner - Family in Cloquet, MN

Active since April 05, 2006
927 TRETTEL LN, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720(218) 879-1227(218) 878-2188 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Jo Koszarek Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY JO KOSZAREK NP (NPI 1487616363) is an individual family provider in Cloquet, Minnesota, licensed in Minnesota (R-130517-3) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1487616363
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY JO KOSZAREKCredential: NP
Location Address927 TRETTEL LN, FOND DU LAC HUMAN SERVICES DIVISIONCloquet, MN 55720-1345
Mailing Address324 12th StCloquet, MN 55720-2040 · (218) 879-0977
Fax(218) 878-2188
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateMay 24, 2013
NPI 1487616363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · R-130517-3
927 TRETTEL LN, Cloquet, MN 55720

Other Identifiers 3

Medicaid699316800MN
Medicare ID-Type Unspecified500000472MN
Medicare UPINS52290FM

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
927 TRETTEL LN
CLOQUET, MN 55720
Marriage & Family Therapist
927 TRETTEL LN
CLOQUET, MN 55720
Counselor (Professional)
927 TRETTEL LN
CLOQUET, MN 55720
Social Worker (Clinical)
927 TRETTEL LN
CLOQUET, MN 55720
Nurse Practitioner (Family)
927 TRETTEL LN
CLOQUET, MN 55720
Clinic/Center (Mental Health (Including Community Mental Health Center))
927 TRETTEL LN
CLOQUET, MN 55720
Dietitian, Registered
927 TRETTEL LN
CLOQUET, MN 55720
Dentist
927 TRETTEL LN
CLOQUET, MN 55720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Koszarek's NPI number?

The NPI number for Mary Koszarek is 1487616363. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Mary Koszarek located?

Mary Koszarek practices at 927 Trettel Ln Fond Du Lac Human Services Division, Cloquet, MN 55720. The listed phone number is (218) 879-1227.

What is Mary Koszarek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Koszarek was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.