person
Rebecca Lynn Koo
Primary Care Nurse Practitioner in Phoenix, Arizona
NPI 1114122918

Rebecca Lynn Koo is a Primary Care Nurse Practitioner based in Phoenix, AZ and is specialized in Primary Care. Rebecca Lynn Koo practices in Phoenix, AZ. The NPI Number for Rebecca Lynn Koo is 1114122918 and holds a License No. 209005271 (Arizona).

The current practice location address for Rebecca Lynn Koo is 1919 E Thomas Rd, Phoenix, AZ and can be reached out via phone at 602-546-1900 and via fax at 602-546-1918.

Location: 1919 E Thomas Rd, Phoenix, AZ, 85018-2327
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Provider Profile Details
NPI Number
1114122918
Provider Name
Rebecca Lynn Koo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1919 E Thomas Rd, Phoenix, AZ, 85018-2327
Phone Number
602-546-1900
Fax Number
602-546-1918
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114122918 05 WI
institution
Provider Business Practice Location Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-546-1900
Fax Number
602-546-1918
person
Provider Business Mailing Address Details
Address
1919 E Thomas Rd
City
State
Zip
85016-7710
Phone Number
602-546-1900
Fax Number
602-546-1918
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
AP4842 (Arizona)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
177089 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209005271 (Illinois)
Definition
Definition to come...
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