Provider Demographics
NPI:1659019297
Name:KOIS, DENI MARIE (NP)
Entity Type:Individual
Prefix:
First Name:DENI
Middle Name:MARIE
Last Name:KOIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 RAMSEY LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8929
Mailing Address - Country:US
Mailing Address - Phone:919-632-4466
Mailing Address - Fax:
Practice Address - Street 1:94 RAMSEY LN
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8929
Practice Address - Country:US
Practice Address - Phone:919-632-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC190323163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse