Individual provider · NPI-1

Kossi Essey Afanou, CNP

Nurse Practitioner · Rochester, MN

NPI number1124707443
StatusActive
Last updated in NPPESOct 2, 2023

Details

NPI
1124707443
Entity type
Individual (NPI-1)
Name
Kossi Essey Afanou
Credential
CNP
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2023
Certification date
Oct 2, 2023
Last updated
Oct 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner10431MNYes
363LF0000X Nurse Practitioner, Family10431MN

Practice location

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Mailing address

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

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