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Mary B Koch, NP
Neonatal Nurse Practitioner in Indianapolis, Indiana
NPI 1457434094

Mary B Koch is a Neonatal Nurse Practitioner based in Indianapolis, IN and is specialized in Neonatal. Mary B Koch practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Mary B Koch is 1457434094 and holds a License No. 28110959 (Indiana).

The current practice location address for Mary B Koch is 705 Riley Hospital Dr, Indianapolis, IN and can be reached out via phone at 317-274-4715 and via fax at 317-274-2065. You can also correspond with Mary B Koch through the mailing address at PO BOX 1026, INDIANAPOLIS, IN - 46206-1026 (mailing address contact number: 317-777-6435).

Location: 705 Riley Hospital Dr, Indianapolis, IN, 46206-1026
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Provider Profile Details
NPI Number
1457434094
Provider Name
Mary B Koch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
705 Riley Hospital Dr, Indianapolis, IN, 46206-1026
Phone Number
317-274-4715
Fax Number
317-274-2065
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200841520 05 IN
P01456892 01 IN MEDICARE RAILROAD PTAN
institution
Provider Business Practice Location Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-274-4715
Fax Number
317-274-2065
person
Provider Business Mailing Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-274-4715
Fax Number
317-274-2065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
28110959 (Indiana)
Definition
Definition to come...
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