Autumn Rose Koppenhaver, CRNP
Autumn Rose Koppenhaver, CRNP is a Nurse Practitioner in Elizabethville, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Family Practice Center PC, a 347-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 1
- Licensed in
- PA
- In the registry since
- 2025
What do these letters mean?
- CRNP — Certified Registered Nurse Practitioner
- The title Pennsylvania and some other states use for a nurse practitioner.
Practice location Address checks out
4897 State Route 209Elizabethville, PA 17023-8455
Phone: (717) 362-3371
Fax: (717) 362-4278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence SP033234 (PA) |
|---|
Record details
| NPI number | 1457243321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNP |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2025 |
| Last updated in NPPES | August 4, 2025 |
| Certification date | August 4, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Family Practice Center Pc — 347 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Elizabethville
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Danielle Marie Avery, CRNP
4897 State Route 209, Elizabethville, PA 17023-8455 · (717) 362-3371