Individual provider · Type 1 NPI
Nancy Ellen Koehler, PA-C
Medical Physician Assistant · Laguna Niguel, CA
NPI number
1164543716
Active
Practice location
30201 Golden Lantern, Suite B
Laguna Niguel, CA 92677-5979
Mailing address
624 Via Espiritu
San Clemente, CA 92672-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA14868 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1164543716
Nancy Ellen Koehler, PA-C's National Provider Identifier is 1164543716, issued on Apr 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Laguna Niguel, CA. The record was last updated on Jul 8, 2007.