Individual provider · Type 1 NPI

Melissa Koehler

Pediatric Nurse Practitioner · Winnetka, IL

NPI number 1033530548 Active

Practice location

572 Lincoln Ave, Suite #3
Winnetka, IL 60093-2308

Mailing address

2323 Central St, Apt 3W
Evanston, IL 60201-5736

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041.415962 (IL)
Pediatric Nurse Practitioner Primary 363LP0200X209.011071 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1033530548

Melissa Koehler's National Provider Identifier is 1033530548, issued on Dec 31, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Winnetka, IL. The record was last updated on Dec 31, 2013.