Individual provider · Type 1 NPI

Mary Anne Koeppel, A.R.N.P.

Pediatric Nurse Practitioner · Tallahassee, FL

NPI number 1164409306 Active

Practice location

1881 Professional Park Cir, Suite 80
Tallahassee, FL 32308-4541

Call (850) 402-5454 Map

Fax (850) 402-5451

Mailing address

7047 Dardwood Ln
Tallahassee, FL 32312-3511

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XARNP 523132 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1164409306

Mary Anne Koeppel, A.R.N.P.'s National Provider Identifier is 1164409306, issued on Dec 29, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tallahassee, FL. The record was last updated on Jul 13, 2026.