Melissa Koehler
Nurse Practitioner - Pediatrics
572 Lincoln Ave Suite #3
Winnetka
, Illinois 60093-2308
Melissa Koehler
Nurse Practitioner - Pediatrics
572 Lincoln Ave Suite #3
Winnetka
, Illinois 60093-2308
(847) 826-0903
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Melissa Koehler
- 2323 Central St Apt 3w
- Evanston, IL
- Zip : 60201-5736
- Phone : (847) 826-0903
Second Address
- Melissa Koehler
- 572 Lincoln Ave Suite #3
- Winnetka, IL
- Zip : 60093-2308
- Phone : (847) 501-4040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209.011071 | IL |
National Provider Identifier
| NPI | 1033530548 |
|---|---|
| Provider Name | Melissa Koehler |
| First Address | Evanston, IL 60201-5736 |
| Second Address | Winnetka, IL 60093-2308 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2013 |
| Last Update Date | 31/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041.415962 | RN LICENSE (01) | IL |
| 209.011071 | APN LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.