Individual provider · NPI-1
Pamela M Koehler, CNM
Advanced Practice Midwife · Peru, IL
NPI number1699852129
StatusActive
Last updated in NPPESJul 26, 2011
Details
- NPI
- 1699852129
- Entity type
- Individual (NPI-1)
- Name
- Pamela M Koehler
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209001206 | IL | Yes |
Practice location
920 West StBldg B
Peru, IL 61354-2763
Phone 815-223-2944 · Fax 815-223-4095
Mailing address
1305 6th StPeru, IL 61354-2759
Phone 815-780-5029 · Fax 815-223-4095
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