NPI

Rebecca Lynn Koo

NPI 1114122918

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2007-06-20
Last updated
2017-10-30

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Specialties

Licenses

License IL
209005271
License WI
177089
License AZ
AP4842

Location

Practice location
1919 E Thomas Rd
City
Phoenix AZ
Postal code
85016-7710
Phone
(602) 546-1900
Fax
(602) 546-1918

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Primary Care Nurse Practitioners in Phoenix, AZ. 84 with this primary taxonomy in the public file.

Other NPIs in Phoenix, AZ. 44,026 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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