person
Nicole Renee Koch
Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, Michigan
NPI 1912623158

Nicole Renee Koch is a Psychiatric/Mental Health Nurse Practitioner based in Hudsonville, MI and is specialized in Psychiatric/Mental Health. Nicole Renee Koch practices in Grand Rapids, MI. The NPI Number for Nicole Renee Koch is 1912623158 and holds a License No. (Michigan).

The current practice location address for Nicole Renee Koch is 1025 28Th St Se, Grand Rapids, MI and can be reached out via phone at 616-259-7172.

Location: 1025 28Th St Se, Grand Rapids, MI, 49426-8983
person
Provider Profile Details
NPI Number
1912623158
Provider Name
Nicole Renee Koch
Credential
Provider Entity Type
Individual
Gender
Female
Address
1025 28Th St Se, Grand Rapids, MI, 49426-8983
Phone Number
616-259-7172
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 28Th St Se
City
State
Zip
49508-1309
Phone Number
616-259-7172
Fax Number
person
Provider Business Mailing Address Details
Address
1025 28Th St Se
City
State
Zip
49508-1309
Phone Number
616-259-7172
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
4704284907 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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