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MARY B KOOLMO APRN, CNP
NPI 1821182296
Nurse Practitioner - Pediatrics in Saint Paul, MN

Active since October 03, 2006
347 SMITH AVE N, MS 70-302, SAINT PAUL, MN 55102(651) 220-6728(651) 220-5231 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary B Koolmo Aprn, Cnp NPPES

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

MARY B KOOLMO APRN, CNP (NPI 1821182296) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (R119628-5) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1821182296
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY B KOOLMOCredential: APRN, CNP
Location Address347 SMITH AVE N, MS 70-302Saint Paul, MN 55102-2387
Mailing Address347 N. Smith Ave., Ms 70-302St. Paul, MN 55102 · (651) 220-6728 · Fax (651) 220-5231
Phone(651) 220-6728
Fax(651) 220-5231
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1821182296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R119628-5
Also ListedPediatricsTaxonomy 208000000X · License R44402 (NM)
347 SMITH AVE N, Saint Paul, MN 55102
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Other Names 1

Former Name (1)Mary B Dentz Cpnp

Other Identifiers 3

Medicare UPINS68672
Medicare PIN348404501
Medicaid000Z8736NM

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.

DOREATHA J BAKER CPNP
Nurse Practitioner (Pediatrics)
347 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6708
PATRA ANN BORDEN MSN, APRN, NNP-BC
Nurse Practitioner (Neonatal)
347 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6000
CYNTHIA J MCCARTY-DAWSON CNNP
Nurse Practitioner (Neonatal, Critical Care)
347 SMITH AVE N, CHILDRENS SPECIALTY CLINIC NICU
SAINT PAUL, MN 55102
Ramsey County (651) 220-6210
DARRELL R RASK CPNP
Nurse Practitioner (Pediatrics)
347 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6818
NANCY J MENDELSOHN MD
Medical Genetics (Clinical Genetics (M.D.))
347 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6884
ELIN ANN NELSON NP
Nurse Practitioner (Family)
347 SMITH AVE N, GARDENVIEW MEDICAL BLDG, STE 204
SAINT PAUL, MN 55102
Ramsey County (651) 241-6270
SUSAN J DITMANSON MD
Obstetrics & Gynecology
347 SMITH AVE N, SUITE 203
SAINT PAUL, MN 55102
Ramsey County (651) 241-7733
ELIZABETH J SIQVELAND CPNP
Nurse Practitioner (Pediatrics)
347 SMITH AVE N, CHILDRENS SPECIALTY CLINIC-GENETICS-STPL
SAINT PAUL, MN 55102
Ramsey County (651) 220-6884

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 Koolmo's NPI number?

The NPI number for Mary Koolmo is 1821182296. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Mary B Dentz Cpnp.

Where is Mary Koolmo located?

Mary Koolmo practices at 347 Smith Ave N Ms 70-302, Saint Paul, MN 55102. The listed phone number is (651) 220-6728.

What is Mary Koolmo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Koolmo was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.