ELISE KOEPKE NPI 1003268509

NPI Information

Elise Koepke is a student in an organized health care education training program in Fremont, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Elise Koepke NPI is 1003268509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

39465 PASEO PADRE PKWY
SUITE 2100
FREMONT, CA
ZIP 94538-350
Phone: (510) 745-9151
Fax: (510) 745-9152

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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