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Individual

ANNA C KOOPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1200 OLD YORK RD, ABINGTON, PA 19001-3720
(215) 481-6784
Mailing address
1101 MARKET ST FL 30, PHILADELPHIA, PA 19107-2934
(856) 922-9890

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-113403
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
SP022800
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051544705
BCBS
AL
01
051544706
BCBS
AL
01
051544707
BCBS
AL
01
051544708
BCBS
AL
01
051544709
BCBS
AL
01
051544710
BCBS
AL
01
051544711
BCBS
AL
01
051544712
BCBS
AL
01
051544714
BCBS
AL
01
051544715
BCBS
AL
01
510I500035
MEDICARE
AL
05
891017592
AL
05
891017593
AL
05
891017594
AL
05
891017595
AL
05
891017598
AL
05
891017599
AL
05
891017600
AL
05
891017601
AL
05
891017606
AL
Enumeration date
08/09/2007
Last updated
11/11/2022
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