Provider Demographics
NPI:1487480778
Name:KOESTER, EMMA (ARNP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:KOESTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:KNOOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1825 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-1916
Mailing Address - Country:US
Mailing Address - Phone:319-235-3941
Mailing Address - Fax:
Practice Address - Street 1:1631 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1237
Practice Address - Country:US
Practice Address - Phone:319-833-5381
Practice Address - Fax:319-833-5386
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA181288363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner