Individual provider · Type 1 NPI

Nicole Marie Koepke, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1003006735 Active

Practice location

3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med
Philadelphia, PA 19104-4319

Call (215) 590-1944 Map

Fax (215) 590-4454

Mailing address

100 E Penn Sq, 9th Floor
Philadelphia, PA 19107-3323

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP007292 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003006735

Nicole Marie Koepke, CRNP's National Provider Identifier is 1003006735, issued on Jul 30, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 30, 2013.