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NPI Code Detail

MEDICARE: CHRISTINA KOPINGON ARNP, FNP-BC, CNM

MEDICARE: CHRISTINA KOPINGON ARNP, FNP-BC, CNM
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
1363LF0000XFamily Nurse PractitionerARNP9250171FL
2367A00000XAdvanced Practice MidwifeARNP9250171FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326461369
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA KOPINGON ARNP, FNP-BC, CNM
Provider Business Mailing Address
First Line : 101 SE 27TH AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7632
Country : US
Telephone Number : 561-738-9761
Fax Number :
Provider Business Practice Location Address
First Line : 101 SE 27TH AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7632
Country : US
Telephone Number : 561-738-9761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2014
Last Update Date : 04/29/2022

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