Individual provider · Type 1 NPI

Rebecca Lynn Koo

Primary Care Nurse Practitioner · Phoenix, AZ

NPI number 1114122918 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Fax (602) 546-1918

Mailing address

3200 E Camelback Rd, Ste 250
Phoenix, AZ 85018-2327

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X209005271 (IL)
Nurse Practitioner 363L00000X177089 (WI)
Primary Care Nurse Practitioner Primary 363LP2300XAP4842 (AZ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1114122918

Rebecca Lynn Koo's National Provider Identifier is 1114122918, issued on Jun 20, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 30, 2017.