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

Mr. Mark W Koppenberg, RN

Individual provider Registered Nurse · NPI 1306189840

Mr. Mark W Koppenberg, RN is a Registered Nurse in Richfield, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

6461 - Lyndale Ave So
Richfield, MN 55423
Phone: (612) 861-4272
Fax: (612) 605-0078
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R186537-0 (MN)

Record details

NPI number1306189840
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013
Mailing address6461 - Lyndale Ave So, Crystal Care Home Health, Richfield, MN 55423

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