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

Mary Koenen, FNP

Individual provider Family Nurse Practitioner · NPI 1184777682

Mary Koenen, FNP is a Family Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

72 Sheldon Blvd SE
Grand Rapids, MI 49503-4234
Phone: (616) 988-8774
Fax: (616) 988-8775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence MK4704154566 (MI)

Record details

NPI number1184777682
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJuly 8, 2007

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