MEDICARE: HARRIET KOOPMAN APRN, CPNP-PC

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
1	363LP0200X	Pediatric Nurse Practitioner	0024188724	VA

General Provider Information

NPI Number	:	1922873124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRIET KOOPMAN APRN, CPNP-PC

Provider Business Mailing Address
First Line	:	2301 COLUMBIA PIKE STE G1
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4478
Country	:	US
Telephone Number	:	703-535-5568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 COLUMBIA PIKE STE G1
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-4478
Country	:	US
Telephone Number	:	703-535-5568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2023
Last Update Date	:	03/11/2026

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