Provider Demographics
NPI:1679367304
Name:KOONST, DEBRA
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:KOONST
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 98TH ST NE
Mailing Address - Street 2:
Mailing Address - City:DUNSEITH
Mailing Address - State:ND
Mailing Address - Zip Code:58329-9409
Mailing Address - Country:US
Mailing Address - Phone:701-871-2292
Mailing Address - Fax:
Practice Address - Street 1:2567 98TH ST NE
Practice Address - Street 2:
Practice Address - City:DUNSEITH
Practice Address - State:ND
Practice Address - Zip Code:58329-9409
Practice Address - Country:US
Practice Address - Phone:701-871-2292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant