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MR. DUANE OLIVER KOIVISTO LPN
NPI 1770876187
Licensed Practical Nurse in Stillwater, MN

Active since May 18, 2011
11400 JULIANNE AVE N, STILLWATER, MN 55082(651) 426-3300(651) 426-0419 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Duane Oliver Koivisto Lpn NPPES

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

MR. DUANE OLIVER KOIVISTO LPN (NPI 1770876187) is an individual licensed practical nurse in Stillwater, Minnesota, licensed in Minnesota (L 63350-3) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1770876187
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. DUANE OLIVER KOIVISTOCredential: LPN
Location Address11400 JULIANNE AVE NStillwater, MN 55082-9436
Mailing Address2532 1st Ave S, #104Minneapolis, MN 55404-4368 · (612) 825-2905
Phone(651) 426-3300
Fax(651) 426-0419
Sole ProprietorNo
Enumeration DateMay 18, 2011
✔ NPI 1770876187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MN · L 63350-3
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
11400 JULIANNE AVE N, Stillwater, MN 55082
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Other Providers at the Same Location NPPES 11

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

MS. LORI MARIE CARGEN BECKWITH LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 454-2406
CEDAR RIDGE, INC
Substance Abuse Rehabilitation Facility
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 326-7555
MR. MICHAEL J SMITH RPH
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 454-2401
AMBER ROSE HARDTKE LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (612) 454-2076
PATRICIA MILLER MA, LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300
ASHLEY ANN BECK LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300
MR. STEVEN ROBERT LEFKOWICH LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300
STEPHANIE OREEN GILQUIST LADC
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
Washington County (651) 426-3300

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 Duane Koivisto's NPI number?

The NPI number for Duane Koivisto is 1770876187. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Duane Koivisto located?

Duane Koivisto practices at 11400 Julianne Ave N, Stillwater, MN 55082. The listed phone number is (651) 426-3300.

What is Duane Koivisto's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Duane Koivisto was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.