IndividualActive
Brendan Koning, APRN, CPNP
NPI 1740748649 · Pediatric Nurse Practitioner · New Market, MD
Provider details
- NPI number
- 1740748649
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CPNP
- Sex
- Male
- Sole proprietor
- No
- License
- APRN11006116 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11717 Old National Pike Ste 8
New Market, MD 21774-6119
Phone: (301) 882-7489
Approximate (ZIP-level) locationGet directions
Mailing address
11717 Old National Pike Ste 8
New Market, MD 21774-6119
Registry dates
- Enumerated
- 2019-03-10
- Last updated
- 2020-07-29
- Certified
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.