IndividualActive
Alexandra Koes, PA-C
NPI 1417503558 · Physician Assistant · Maple Grove, MN
Provider details
- NPI number
- 1417503558
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 13496 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9645 Grove Cir N Ste 250
Maple Grove, MN 55369-2683
Phone: (763) 201-8191
Approximate (ZIP-level) locationGet directions
Mailing address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684
Registry dates
- Enumerated
- 2019-08-14
- Last updated
- 2021-04-02
- Certified
- 2021-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.