Katherine Denise Koller, APRN
Registered Nurse, Psych/Mental Health, Child & Adolescent in Provo, UT. Individual provider (NPI-1).
NPI number1003973785
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003973785
- Entity type
- Individual (NPI-1)
- Name
- Katherine Denise Koller
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 192852-4405 | UT | Yes |
Practice location
315 S 100 EProvo, UT 84606-4649
Phone 801-851-8517
Mailing address
315 S 100 EProvo, UT 84606-4649
Phone 801-851-8517
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Child & Adolescent Psychiatric/Mental Health Registered Nurse providers in Provo, UT
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- Sharron Marie LundeenNPI 1164907317
- Tack D Macgregor, REGISTERED NURSENPI 1659914356
- Dori PalmerNPI 1639870017
- Michelle Shepherd, RNNPI 1215520234
All 8 Child & Adolescent Psychiatric/Mental Health Registered Nurse providers in Provo · All 6,098 providers in Provo
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