Individual provider · Type 1 NPI
Rajashree Koppolu, C.P.N.P
Pediatric Nurse Practitioner · Palo Alto, CA
NPI number
1609086651
Active
Practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 604243 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 15247 (CA) |
| Nurse Practitioner | 363L00000X | 15247 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1609086651
Rajashree Koppolu, C.P.N.P's National Provider Identifier is 1609086651, issued on May 22, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Palo Alto, CA. The record was last updated on Aug 8, 2016.