Autumn Rose Koppenhaver
CRNP | Nurse Practitioner
4897 State Route 209, Elizabethville
Pennsylvania, 17023-8455
717-362-3371
Autumn Rose Koppenhaver is a Elizabethville, Pennsylvania based nurse practitioner. Active license number of Autumn Rose Koppenhaver is SP033234 in Pennsylvania. Her current practice location is 4897 State Route 209, Elizabethville. Patients can reach her at 717-362-3371 or can fax her at 717-362-4278. Autumn Rose Koppenhaver is CRNP and her NPI number (Unique professional ID assigned by NPPES) is 1457243321.
Autumn Rose Koppenhaver has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Autumn Rose Koppenhaver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Autumn Rose Koppenhaver |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CRNP |
| Practice Address: | 4897 State Route 209, Elizabethville,
Pennsylvania, 17023-8455 |
| Phone: | 717-362-3371 |
| Fax: | 717-362-4278 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1457243321 |
| NPI Enumeration Date: | 16 Jul, 2025 |
| NPI Last Update On: | 04 Aug, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Autumn Rose Koppenhaver are as mentioned below.
| License Number | Specialization | State | Status | |
| SP033234 | | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Autumn Rose Koppenhaver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1045211160001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Autumn Rose Koppenhaver
7 Dock Hill Rd,
Middleburg, Pennsylvania |
| Zip: | 17842-8910 |
| Phone Number: | 570-837-2123 |
| Fax Number: | 570-837-2185 |
Patients can reach Autumn Rose Koppenhaver at
4897 State Route 209, Elizabethville, Pennsylvania or can
call to book an appointment on 717-362-3371.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.