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NPI Code Detail

MEDICARE: AMY NICOLE KOREN FNP-C

MEDICARE: AMY NICOLE KOREN FNP-C
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 PractitionerSP035811PA

General Provider Information

NPI Number : 1891631883
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NICOLE KOREN FNP-C
Provider Business Mailing Address
First Line : 120 N WEST ST APT 12
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1555
Country : US
Telephone Number : 814-943-8164
Fax Number :
Provider Business Practice Location Address
First Line : 2907 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4305
Country : US
Telephone Number : 814-943-8164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ AMY NICOLE KOREN FNP-C” Practice Location

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