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Individual

EMILY L KOELSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CPNP-PC

Contact information

Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(781) 264-7754
Mailing address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
227343
AR
363LP0200X
Pediatric Nurse Practitioner
95020554
CA
363LP0200X
Pediatric Nurse Practitioner
RN2303260
MA

Other

Enumeration date
10/29/2018
Last updated
09/19/2025
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