Autumn Rose Koppenhaver, CRNP
NPI #1457243321 in Elizabethville, Pennsylvania
Provider Information
- NPI Number
- 1457243321
- Entity Type
- Individual
- Name
- Autumn Rose Koppenhaver, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Jul 16, 2025
- Last Updated
- Aug 4, 2025
Practice Location
- Address
- 4897 STATE ROUTE 209
- City
- Elizabethville
- State
- Pennsylvania
- ZIP Code
- 17023-8455
- Phone
- (717) 362-3371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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