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
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.415962 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209.011071 (IL) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
Other pediatric nurse practitioner providers in Winnetka
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.