Most Relevant Information
Provider Data
| NPI Number: | 1003006735 |
| Provider Name: | NICOLE MARIE KOEPKE CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | SP007292 |
Most Important Dates
| Enumeration Date: | 07/30/2007 |
| Last Updated: | 05/30/2013 |
Provider Practice Location
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA
PA
191044319
Practice Location Phone/Fax
| Phone: | 2155901944 |
| Fax: | 2155904454 |
Provider Mailing Location
100 E PENN SQ
9TH FLOOR
PHILADELPHIA
PA
191073323
Provider Mailing Phone/Fax
| Phone: | 2674259234 |
| Fax: | 2674259299 |