Individual
CHRISTINA R KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2510 CORRIDOR WAY STE 6A, CORALVILLE, IA 52241-7604
(319) 384-8500
Mailing address
2510 CORRIDOR WAY STE 6A, CORALVILLE, IA 52241-7604
(319) 384-8500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A151253
IA
363LP2300X
Primary Care Nurse Practitioner
209013230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
920540
MEDICARE PTAN GROUP
IL
01
—
F400286769
MEDICARE PTAN INDIVIDUAL
IL
Enumeration date
10/27/2015
Last updated
09/05/2025
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