Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN ROSE KOPPENHAVER, CRNP
Active Sole ProprietorAUTUMN ROSE KOPPENHAVER, CRNP is a Nurse Practitioner healthcare provider located in ELIZABETHVILLE, Pennsylvania. NPI 1457243321 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ELIZABETHVILLE, PA
Registration Details
- NPI Number
- 1457243321
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2025 (1.0601336065242 yrs)
- Last Updated
- Aug 4, 2025
- License
-
SP033234 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4897 STATE ROUTE 209ELIZABETHVILLE, PA, 170238455Browse PA providers · Browse ZIP 17023
- Phone
- 7173623371
- Fax
- 7173624278
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in ELIZABETHVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| DANIELLE MARIE AVERY | CRNP | 1003547282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.