Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rebecca Lynn Koo

Individual provider Pediatric Nurse Practitioner · NPI 1114122918

Rebecca Lynn Koo is a Pediatric Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona, Illinois and Wisconsin. Registered with an NPI since 2007.

Licensed in
AZ, IL, WI
In the registry since
2007
Specialties on file
3

Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 546-1900
Fax: (602) 546-1918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP4842 (AZ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 209005271 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 177089 (WI)

Record details

NPI number1114122918
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESOctober 30, 2017

Other providers in Phoenix