Individual provider · Type 1 NPI
Susan Diane Koepp, NP
Family Nurse Practitioner · Oriental, NC
NPI number
1174567556
Active
Practice location
1101 Broad Street Ext
Oriental, NC 28571-9790
Fax (252) 249-2275
Mailing address
PO Box 383, 1101 Broad St Ext
Oriental, NC 28571-9790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0200684 (NC) |
Family Nurse Practitioner: Definition to come...
About NPI 1174567556
Susan Diane Koepp, NP's National Provider Identifier is 1174567556, issued on Jun 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oriental, NC. The record was last updated on Sep 30, 2014.