Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koa Health PLLC

Organization Family Nurse Practitioner · NPI 1508543919

Koa Health PLLC is a Family Nurse Practitioner in Ham Lake, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3120 142nd Ave NE
Ham Lake, MN 55304-6842
Phone: (701) 330-5573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1508543919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Brittain — Nurse Practitioner · (701) 330-5573
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address11468 Marketplace Dr N Ste 600-1248, Champlin, MN 55316-3872

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