IndividualActive
Corey Koyamatsu, APRN, AGCNS-BC
NPI 1679379960 · Clinical Nurse Specialist · Minneapolis, MN
Provider details
- NPI number
- 1679379960
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, AGCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 642 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 Harvard St Se
Minneapolis, MN 55455-0363
Phone: (612) 273-8890
Approximate (ZIP-level) locationGet directions
Mailing address
420 Delaware St. Se
Minneapolis, MN 55455-0363
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-19
- Certified
- 2025-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.