person
Mrs. Tara Ellen Koch, RN
Psychiatric/Mental Health Registered Nurse in Baraboo, Wisconsin
NPI 1659600468

Tara Ellen Koch is a Psychiatric/Mental Health Registered Nurse based in Baraboo, WI and is specialized in Psychiatric/Mental Health. Tara Ellen Koch practices in Baraboo, WI and has the professional credentials of RN. The NPI Number for Tara Ellen Koch is 1659600468 and holds a License No. 133039-030 (Wisconsin).

The current practice location address for Tara Ellen Koch is 505 Broadway St, Baraboo, WI and can be reached out via phone at 608-355-4200 and via fax at 608-524-7990.

Location: 505 Broadway St, Baraboo, WI, 53913-0029
person
Provider Profile Details
NPI Number
1659600468
Provider Name
Tara Ellen Koch
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
505 Broadway St, Baraboo, WI, 53913-0029
Phone Number
608-355-4200
Fax Number
608-524-7990
Provider Enumeration Date
12/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 Broadway St
City
State
Zip
53913-2183
Phone Number
608-355-4200
Fax Number
608-524-7990
person
Provider Business Mailing Address Details
Address
505 Broadway St
City
State
Zip
53913-2183
Phone Number
608-355-4200
Fax Number
608-524-7990
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
133039-030 (Wisconsin)
Definition
Definition to come...
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