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NPI Code Detail

MEDICARE: AARON KOOPMAN CRNA

MEDICARE: AARON KOOPMAN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistD190663IA

General Provider Information

NPI Number : 1225971641
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON KOOPMAN CRNA
Provider Business Mailing Address
First Line : 16103 BETH CT
Second Line :
City : OAK FOREST
State : IL
Zip : 60452-3708
Country : US
Telephone Number : 920-229-3665
Fax Number :
Provider Business Practice Location Address
First Line : 4500 UTICA RIDGE RD
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-1626
Country : US
Telephone Number : 563-742-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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