Kopp, Christina R

Kopp, Christina R is an individual health care provider with primary practice located at 2510 Corridor Way Ste 6A , Coralville IA 52241-7604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kopp, Christina R can be contacted via phone (319) 384-8500.

Contact Information

Primary practice address
2510 Corridor Way Ste 6A Coralville IA 52241-7604
Phone: (319) 384-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209013230 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A151253 Iowa

Profile Details

NPI number 1164894432
LBN Legal business name Kopp, Christina R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2015
Last updated Jan 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164894432 NPPES
Illinois Other 920540 MEDICARE PTAN GROUP
Illinois Other F400286769 MEDICARE PTAN GROUP

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