Whalio Doctors

NPI 1003006735

Nicole Marie Koepke, CRNP

Practitioner Pediatric Nurse Practitioner Philadelphia, PA

Practice location

Address
3401 Civic Center Blvd Children's Hospital of Philadelphia - Emergency Med, Philadelphia, PA 19104-4319
Phone
(215) 590-1944
Fax
(215) 590-4454
Mailing address
100 E Penn Sq 9th Floor, Philadelphia, PA 19107-3323

Registered specialties

Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence SP007292 (PA)

Registry record

NPI
1003006735
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Jul 2007
Record last updated
30 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.